Tyler Vachon, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A151542 Issued in CA

Practice address

250 Cherry LN Ste 116
Manteca, CA 95337-4398

Phone

(209) 647-2184

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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.

• Golden State Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1144872052

  CA

  Medicare reassignment NPD
• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583
  Medicare reassignment
• Central Valley Imaging Medical Associates, Inc

  • Diagnostic Radiology Physician
  • Manteca, CA
  • NPI 1275523169
  Medicare reassignment
• County of San Joaquin

  dba San Joaquin General Hospital

  • General Acute Care Hospital
  • French Camp, CA
  • NPI 1801830583
  Medicare reassignment
• Lodi Memorial Hospital Association, Inc

  dba Lodi Memorial Community Clinic - Iris

  • Primary Care Clinic/Center
  • Lodi, CA
  • NPI 1861649352
  Medicare reassignment
• San Joaquin Faculty Medical Group

  • Internal Medicine Physician
  • French Camp, CA
  • NPI 1225063761
  Medicare reassignment
• Pleasanton Diagnostic Imaging, Inc.

  • Diagnostic Radiology Physician
  • Pleasanton, CA
  • NPI 1386937191
  NPD
• Pleasanton Diagnostic Imaging, Inc.

  • Diagnostic Radiology Physician
  • San Ramon, CA
  • NPI 1922743657
  NPD
• UC Regents

  dba Uci Health-Fountain Valley Imaging-Warner Ave

  • Diagnostic Radiology Physician
  • Fountain Valley, CA
  • NPI 1902177785
  NPD
• Stamford Health Medical Group Inc

  • General Practice Physician
  • Stamford, CT
  • NPI 1154633980
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1083777460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CHERRY LN STE 116",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374398",
            "telephone_number": "209-647-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CHERRY LN STE 116",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374398",
            "telephone_number": "209-647-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACHON",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A151542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Home Health Group, Inc. (united home health)
• United Hospice & Home Health Services, Inc.
• Jon Uota, MD
• Uproot Progressive, Marriage and Family Therapy, Inc.
• Elizabeth Urtiz
• Sanjeev Vaishampayan, MD
• Jennifer Lizbeth Valadez-Gama
• Zinedine Valdez-Delgado
• Angelica Valdez
• Ruby Yajaira Valenzuela, RRT

• Diagnostic Radiology Physician in Manteca, CA
• Providers in Manteca, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.