Lafayette Michael Tylee, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

G52123 Issued in CA

Practice address

15080 7TH St.
Victorville, CA 92395-3865

Phone

(760) 243-7330

Fax

(760) 243-6990

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kendracare Medical Group, Inc.

  • Family Medicine Physician
  • Victorville, CA
  • NPI 1841411311
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275612798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15797 LIME ST.",
            "city": "HESPERIQ",
            "state": "CA",
            "postal_code": "923453914",
            "telephone_number": "760-948-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15080 7TH ST.",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953865",
            "telephone_number": "760-243-7330",
            "fax_number": "760-243-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLEE",
        "first_name": "LAFAYETTE",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G52123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latiana Turner
• Samantha Anne Turner
• Tajinder Kaur Tut
• Shelley Lynn Tworek, DPT
• Constance Chenfang Twu, O.D.
• UC Irvine Health CDDC High Desert
• Daisy Ann Ukonu, LCSW
• Jeremiah Umakanthan, M.D.
• Jodi Irene Umberson
• John Unimke Undie, PHARMD

• Adult Medicine Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.