Active NPI
Tyler Gid Jenkins
- Clinical Pathology Physician
- Marysville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology Physician
- License
- A135377
- Practice address
- 726 4TH St
Marysville, CA 95901-5656 - Phone
- (530) 749-4467
- NPI assigned
- Apr 4, 2013
- Last updated
- Oct 11, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | A135377 | CA | Primary |
Addresses
Primary practice location
726 4TH St
Marysville, CA 95901-5656
Mailing address
PO Box 3067
Yuba City, CA 95992-3067
Phone (530) 751-4784
Other practice location 1
2441 Olive Ave
Altadena, CA 91001-5549
Phone (707) 616-8962
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
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Southern California Keck School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
726 4TH St
Marysville, CA 95901-5656
Phone (530) 740-1900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.08 of 100
- Quality
- 83.33
- Improvement activities
- 40
- Cost
- 76.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A135377 | CA | MD | Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rideout Memorial Hospital | Current | Accepting new patients |
Locations
726 4th St
Marysville, CA 95901
Phone (530) 491-9491
1531 Plumas Ct
Ste B
Yuba City, CA 95991
Phone (530) 674-2434
Organizations & group practices 1
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.
-
dba Adventist Health and Rideout
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health and Rideout
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
-
dba Sutter Surgical Hospital North Valley
- General Acute Care Hospital
- Yuba City, CA
- NPI 1053281519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1619210937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3067",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959923067",
"telephone_number": "530-751-4784",
"fax_number": "530-751-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 4TH ST",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959015656",
"telephone_number": "530-749-4467"
}
],
"practiceLocations": [
{
"address_1": "2441 Olive Ave",
"address_purpose": "LOCATION",
"city": "Altadena",
"state": "CA",
"postal_code": "910015549",
"country_code": "US",
"telephone_number": "707-616-8962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "TYLER",
"middle_name": "GID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-04",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "CA",
"license": "A135377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.