Tyler Joseph Branco, M.S., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

126466 Issued in CA

Practice address

5212 Katella Ave Ste 103B
Los Alamitos, CA 90720-6828

Phone

(714) 368-6967

NPI assigned

Sep 22, 2019

Sex

Male

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• County of Orange

  • Adult Mental Health Clinic/Center
  • Fullerton, CA
  • NPI 1316084031
  NPD (past)
• County of Orange

  • Adult Mental Health Clinic/Center
  • Santa Ana, CA
  • NPI 1598025793
  NPD (past)

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

{
    "created_epoch": "1569110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1386295368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 KATELLA AVE STE 103B",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206828",
            "telephone_number": "714-368-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 KATELLA AVE STE 103B",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206828",
            "telephone_number": "714-368-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCO",
        "first_name": "TYLER",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-22",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "126466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Bourget
• Mitch Bovy, O.D.
• Mary Grace Binas Bowers, PMHNP
• George P Bozeman, MD
• Sarah Elaine Brady, P.T.
• Ramandeep K Brar, M.D.
• Mary Ann Braunstein, PT
• Hannah Brazier
• Break Thru Ministries
• Nicholas Jay Brecht, PA-C

• Marriage & Family Therapist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.