Active NPI
Tyler Laubach, DO
- Family Medicine Physician
- Ukiah, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A24539
- Practice address
- 260 Hospital Dr Ste 103
Ukiah, CA 95482-4568 - Phone
- (707) 463-7495
- Fax
- (707) 462-3063
- NPI assigned
- Jun 8, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 94-10583 | KS | |
| Family Medicine Physician | 207Q00000X | OP61561024 | WA | |
| Family Medicine Physician | 207Q00000X | 20A24539 | CA | Primary |
Addresses
Primary practice location
260 Hospital Dr Ste 103
Ukiah, CA 95482-4568
Mailing address
260 Hospital Dr Ste 103
Ukiah, CA 95482-4568
Phone (707) 463-7495
Other practice location 1
624 E Front Ave
Spokane, WA 99202-2139
Phone (509) 626-9900
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 |
|---|---|---|---|---|
| I20251007002514 | CA | Practitioner - Family Practice | 4981008315 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Liberty Univ College of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ukiah Adventist HospitalGalen Inpatient Physicians PC
Practice addresses (Care Compare)
260 Hospital Dr
Ukiah, CA 95482-4568
275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111
Hospital & facility affiliations
- Adventist Health Ukiah Valley
- Adventist Health Clearlake
- Adventist Health Mendocino Coast
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A24539 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians, PC | Current | Accepting new patients | |
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Galen Inpatient Physicians, PC | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Heart Institute-Ukiah | Past | Accepting new patients |
Locations
15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
260 Hospital Dr
Ste 204
Ukiah, CA 95482
Phone (707) 463-8032
275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900
260 Hospital Dr
Ste 103
Ukiah, CA 95482
Phone (707) 463-7490
Organizations & group practices 22
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/Retail Pharmacy
- Willits, CA
- NPI 1629432968
-
- Rural Health Clinic/Center
- Fort Bragg, CA
- NPI 1588095848
-
- Rural Health Clinic/Center
- Ukiah, CA
- NPI 1770653362
-
- Rural Health Clinic/Center
- Ukiah, CA
- NPI 1952471542
-
- Internal Medicine Physician
- Roseburg, OR
- NPI 1063833960
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1205614336
-
- Hospitalist Physician
- Germantown, MD
- NPI 1225923154
-
- Hospitalist Physician
- Everett, WA
- NPI 1255261715
-
- Hospitalist Physician
- Waterbury, CT
- NPI 1285439703
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1285201186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 HOSPITAL DR STE 103",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824568",
"telephone_number": "707-463-7495",
"fax_number": "707-462-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 HOSPITAL DR STE 103",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824568",
"telephone_number": "707-463-7495",
"fax_number": "707-462-3063"
}
],
"practiceLocations": [
{
"address_1": "624 E Front Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992022139",
"country_code": "US",
"telephone_number": "509-626-9900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAUBACH",
"first_name": "TYLER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-08",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "94-10583",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61561024",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A24539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.