Kenneth Tye, M.D., Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A32035 Issued in CA

Legal business name

KENNETH TYE, M.D., INC.

Practice address

1250 S Sunset Ave
#202
West Covina, CA 91790-3961

Phone

(626) 960-6588

Fax

(626) 338-0688

NPI assigned

Feb 28, 2008

Last updated

Feb 28, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Tye, M.D.NPI 1265433965

Title

President

Phone

(626) 960-6588

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Tye, M.D.

  • Cardiovascular Disease Physician
  • West Covina, CA
  • NPI 1265433965
  NPD Authorized official

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1568631901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S SUNSET AVE",
            "address_2": "#202",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903961",
            "telephone_number": "626-960-6588",
            "fax_number": "626-338-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S SUNSET AVE",
            "address_2": "#202",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903961",
            "telephone_number": "626-960-6588",
            "fax_number": "626-338-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH TYE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "TYE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-960-6588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A32035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A320350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Keith
• Brian John Keller, LMFT
• Chanpiroum Kelley, APCC
• Mary Jane Kelly
• Richard L Kennedy
• Emily Kershner
• Kevin Zhang Children and Adolescent Clinic Inc. (KAE Cubs Pediatrics)
• Omar Khalife, DPM
• Anne Samir Halim Khalil, DMD
• Chantal Khalili

• Cardiovascular Disease Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.