Active NPI
Tyler E Stratton, M.D.
- Psychiatry Physician
- Anaheim, CA
National Provider Identifier
1275769812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C166470
- Practice address
- 1188 N Euclid St Ste 500
Anaheim, CA 92801-1900 - Phone
- (714) 644-6480
- NPI assigned
- Jun 10, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101255596 | VA | |
| Psychiatry Physician | 2084P0800X | C166470 | CA | Primary |
Addresses
Primary practice location
1188 N Euclid St Ste 500
Anaheim, CA 92801-1900
Mailing address
4075 Quail Rock LN
Reno, NV 89511-6748
Phone (808) 343-6885
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C166470 | CA | MD | Psychiatry Physician |
| 0101255596 | VA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1275769812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4075 QUAIL ROCK LN",
"city": "RENO",
"state": "NV",
"postal_code": "895116748",
"telephone_number": "808-343-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 N EUCLID ST STE 500",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011900",
"telephone_number": "714-644-6480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATTON",
"first_name": "TYLER",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-10",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101255596",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C166470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.