Tyler W. Stanley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17829 Issued in CA

Practice address

233 Lyndon St
Hermosa Beach, CA 90254-5164

Phone

(562) 230-4465

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Antelope Valley Emergency Medical Associates Inc

  • Emergency Medicine Physician
  • Lancaster, CA
  • NPI 1225054257
  NPD (past)
• Centinela Freeman Emergency Medical Associates

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1962539684
  NPD (past)
• Max Franklin Lebow, a Medical Corporation

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1043255813
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1073551347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 LYNDON ST",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902545164",
            "telephone_number": "562-230-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 LYNDON ST",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902545164",
            "telephone_number": "562-230-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "TYLER",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA17829",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Bay Child and Family Therapy, Inc.
• Spine and Pain Center Inc
• Christine Lee Spryer, P.T
• Nerissa Stacey, AMFT
• Jordan Stachel, RDN
• Rachel Stewart, D.C.
• Rebecca M. Stewart, LMFT, LPCC
• Riley McGuire Stewart
• Lisa Stoddard, BCBA
• Kaitlin Alexis Stone

• Physician Assistant in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.