Active NPI
Tyler Robert Arp
- Addiction (Substance Use Disorder) Counselor
- Upland, CA
National Provider Identifier
1114643954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A053211122
- Practice address
- 1260 E Arrow Hwy BLDG E
Upland, CA 91786-4984 - Phone
- (909) 932-1069
- NPI assigned
- Oct 13, 2022
- Last updated
- Jun 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A053211122 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CI33860821 | CA |
Addresses
Primary practice location
1260 E Arrow Hwy BLDG E
Upland, CA 91786-4984
Mailing address
1260 E Arrow Hwy BLDG E
Upland, CA 91786-4984
Phone (909) 932-1069
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | RTC | Health Information Exchange (HIE) | MFI Recovery Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A053211122 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| CI33860821 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Valley Drug and Alcohol Recovery Services | Current | Accepting new patients | |
| Inland Valley Drug and Alcohol Recovery Services | Current | Accepting new patients |
Locations
1260 E Arrow Hwy
Bldg E
Upland, CA 91786
Phone (909) 608-2002
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Inland Valley Recovery Services
- Substance Use Disorder Rehabilitation Clinic/Center
- San Bernardino, CA
- NPI 1053180307
-
dba Inland Valley Recovery Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Colton, CA
- NPI 1740059088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1114643954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 E ARROW HWY BLDG E",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864984",
"telephone_number": "909-932-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 E ARROW HWY BLDG E",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864984",
"telephone_number": "909-932-1069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARP",
"first_name": "TYLER",
"middle_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-13",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A053211122",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CI33860821",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "RTC",
"affiliation": "Y",
"endpointDescription": "RTC",
"affiliationName": "MFI Recovery Center",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5870 Arlington Ave",
"address_2": "103",
"city": "Riverside",
"state": "CA",
"country_code": "US",
"postal_code": "92504",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.