Active NPI
Christine T Tylka, M.D.
- Psychiatry Physician
- Rolling Hills, CA
National Provider Identifier
1225341027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A121753
- Practice address
- 6 Chuckwagon Rd
Rolling Hills, CA 90274-5277 - Phone
- (424) 206-9401
- NPI assigned
- Jul 21, 2010
- Last updated
- Aug 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A121753 | CA | Primary |
Addresses
Primary practice location
6 Chuckwagon Rd
Rolling Hills, CA 90274-5277
Mailing address
6 Chuckwagon Rd
Rolling Hills, CA 90274-5277
Phone (424) 206-9401
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151027002480 | CA | Practitioner - Psychiatry | 1254573652 | Practice locations: Rolling Hills, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121753 | CA | MD | Marriage & Family Therapist |
| A121753 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1225341027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CHUCKWAGON RD",
"city": "ROLLING HILLS",
"state": "CA",
"postal_code": "902745277",
"telephone_number": "424-206-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 CHUCKWAGON RD",
"city": "ROLLING HILLS",
"state": "CA",
"postal_code": "902745277",
"telephone_number": "424-206-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLKA",
"first_name": "CHRISTINE",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A121753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolling Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.