Active NPI
Nicole Marie Tyer, MD
- Internal Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A107790
- Practice address
- 8635 W 3Rd St Ste 295W
Los Angeles, CA 90048-6166 - Phone
- (310) 385-3518
- NPI assigned
- Jun 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A107790 | CA | Primary |
Addresses
Primary practice location
8635 W 3Rd St Ste 295W
Los Angeles, CA 90048-6166
Mailing address
425 E 61St St FL 12
New York, NY 10065-8722
Phone (310) 890-5565
Other practice location 1
5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 6, 2026 through Apr 6, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4140 W 190TH St
Torrance, CA 90504-5513
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole M. Tyer, M.D., Inc. | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
99 N La Cienega Blvd
Ste 303
Beverly Hills, CA 90211
Phone (310) 304-7777
435 N Roxbury Dr
Ste 300
Beverly Hills, CA 90210
Phone (310) 273-7430
Interoperability endpoints
- ntyer135147@direct.cshs.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Beverly Hills, CA
- NPI 1700593043
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1346400785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 E 61ST ST FL 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658722",
"telephone_number": "310-890-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST STE 295W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486166",
"telephone_number": "310-385-3518"
}
],
"practiceLocations": [
{
"address_1": "5 Perryridge Rd",
"address_purpose": "LOCATION",
"city": "Greenwich",
"state": "CT",
"postal_code": "068304608",
"country_code": "US",
"telephone_number": "203-863-3413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYER",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A107790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- 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.