Tyler Grayson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95034894 Issued in CA

Practice address

1703 Termino Ave Ste 108
Long Beach, CA 90804-2126

Phone

(562) 498-2481

Fax

(562) 498-2481

NPI assigned

May 30, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diana E Zschaschel, DDS a Professional Dental Corp

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1497499644
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1023901840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE STE 108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042126",
            "telephone_number": "310-854-6102",
            "fax_number": "562-498-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE STE 108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042126",
            "telephone_number": "562-498-2481",
            "fax_number": "562-498-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "TYLER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95034894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Bruce Gray III
• Ronnae Gray
• Ryan Gray
• Sydney Danielle Gray, ACSW
• Earnest Glenn Grayson
• Gabriella Marie Graziano
• Great Life Medical PC
• Greater Long Beach Endoscopy and Surgery Center, LLC
• Elizabeth M Greco
• Eartha M. Green-Cox, NP

• Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.