Individual provider Active NPI

Tyler James Erickson, DC

  • Chiropractor
  • Camarillo, CA
National Provider Identifier
1669019709
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34700 Issued in CA
Practice address
1200 Paseo Camarillo Ste 160
Camarillo, CA 93010-6085
Phone
(805) 987-1800
NPI assigned
Dec 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 34700 CA Primary

Addresses

Primary practice location

1200 Paseo Camarillo Ste 160
Camarillo, CA 93010-6085

Mailing address

11471 Glenside LN
Santa Rosa Valley, CA 93012-9204
Phone (805) 405-2807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814004047 FL Practitioner - Chiropractic 2961901285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

844 N Federal Hwy
Pompano Beach, FL 33062-4316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiro Pompano PLLC Chiropractor CurrentSince May 1, 2025 Accepting new patients
100 Chiro Hernandez PLLC Single Specialty CurrentSince Jul 2, 2025 Accepting new patients
Camarillo Springs Holistic Medical Single Specialty PastSince Dec 15, 2019 Accepting new patients

Locations

844 N Federal Hwy
Pompano Beach, FL 33062
Phone (754) 209-0420

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1669019709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11471 GLENSIDE LN",
            "city": "SANTA ROSA VALLEY",
            "state": "CA",
            "postal_code": "930129204",
            "telephone_number": "805-405-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PASEO CAMARILLO STE 160",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106085",
            "telephone_number": "805-987-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

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

Verify at the official NPI Registry.