Olga B Tyler, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95023851 Issued in CA

Practice address

4455 W 117TH St Ste 200
Hawthorne, CA 90250-2240

Phone

(310) 219-2000

NPI assigned

Nov 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Community Care Medical Center Inc.

  dba CCMC/Community Care Medical Center

  • Clinic/Center
  • North Hollywood, CA
  • NPI 1265093520
  Medicare reassignment NPD
• Unified Care Medical Group, Inc.

  dba Unified Care Medical Group

  • Primary Care Clinic/Center
  • Lomita, CA
  • NPI 1346607603
  NPD (past)
• Valley Medical Clinic Inc

  • General Practice Physician
  • North Hollywood, CA
  • NPI 1043691207
  NPD (past)

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1225748791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15713 ATKINSON AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494521",
            "telephone_number": "310-995-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 W 117TH ST STE 200",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502240",
            "telephone_number": "310-219-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "OLGA",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "950223851",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95023851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Arlenton Tucker, D.D.S.
• Patricia N Turley, DDS
• Patrick Connor Turley, DDS, MS
• Patrick K Turley, DDS MSD
• Taylor Tyce-Green
• Seanne Shelly Tyson, PH.D.
• Chidi J Ugwueze
• Ultimate Care Services Inc (Incredible Care Services Inc)
• Ultra Med Supply Inc
• United Mobile Response LLC

• Primary Care Nurse Practitioner in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.