Individual provider Active NPI

Tyler Robert Seybert

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1225533292
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A176242 Issued in CA
Practice address
1451 River Park Dr Ste 100
Sacramento, CA 95815-4518
Phone
(505) 918-3009
NPI assigned
Mar 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Psychiatry Physician 2084P0800X A176242 CA Primary

Addresses

Primary practice location

1451 River Park Dr Ste 100
Sacramento, CA 95815-4518

Mailing address

5960 S Land Park Dr # 1002
Sacramento, CA 95822-3313

Other names 1

  • Tyler Seybert Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220919001492 CA Practitioner - Psychiatry 9739437799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zeam Medical Group IncGroup PAC ID 2466858667, 10 clinicians

Practice addresses (Care Compare)

508 Gibson Dr
Suite 150
Roseville, CA 95678-5796
Phone (916) 865-3670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A176242CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Sep 6, 2022 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Sep 6, 2022 Accepting new patients
Zeam Medical Group Inc Psychiatry PastSince May 26, 2024 Accepting new patients

Locations

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

4065 3rd Ave
San Diego, CA 92103
Phone (619) 255-5120

4725 Market St
San Diego, CA 92102
Phone (619) 515-2560

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1225533292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 S LAND PARK DR # 1002",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958223313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 RIVER PARK DR STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154518",
            "telephone_number": "505-918-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYBERT",
        "first_name": "TYLER",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A176242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "SEYBERT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.