Active NPI
Tyler Lee David Farrish, ND
- Naturopath
- Culver City, CA
National Provider Identifier
1720616337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1157
- Practice address
- 10736 Jefferson Blvd # 863
Culver City, CA 90230-4933 - Phone
- (310) 594-7589
- Fax
- (424) 402-3140
- NPI assigned
- Mar 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1157 | CA | Primary |
Addresses
Primary practice location
10736 Jefferson Blvd # 863
Culver City, CA 90230-4933
Mailing address
10736 Jefferson Blvd # 863
Culver City, CA 90230-4933
Phone (310) 594-7589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1157 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1720616337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10736 JEFFERSON BLVD # 863",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304933",
"telephone_number": "310-594-7589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10736 JEFFERSON BLVD # 863",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304933",
"telephone_number": "310-594-7589",
"fax_number": "424-402-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRISH",
"first_name": "TYLER",
"middle_name": "LEE DAVID",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-30",
"last_updated": "2022-02-09",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Naturopath",
"state": "CA",
"license": "1157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.