Individual provider Active NPI

Tiffany Robin Tyser, NP

  • Family Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1073479788
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95038051 Issued in CA
Practice address
112 La Casa Via Ste 300
Walnut Creek, CA 94598-3059
Phone
(925) 239-0012
NPI assigned
Dec 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95038051 CA Primary

Addresses

Primary practice location

112 La Casa Via Ste 300
Walnut Creek, CA 94598-3059

Mailing address

112 La Casa Via Ste 300
Walnut Creek, CA 94598-3059
Phone (925) 239-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304000525 CA Practitioner - Nurse Practitioner 2264914811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95038051CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Surgical Specialists Inc a Medical Corporation CurrentSince Feb 2, 2026 Accepting new patients
Bass Medical Group CurrentSince Feb 2, 2026 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

120 La Casa Via
Ste 208
Walnut Creek, CA 94598
Phone (925) 256-4045

112 La Casa Via
Ste 300
Walnut Creek, CA 94598
Phone (925) 239-0012

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1766793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1073479788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983059",
            "telephone_number": "925-239-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983059",
            "telephone_number": "925-239-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSER",
        "first_name": "TIFFANY",
        "middle_name": "ROBIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-27",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95038051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.