Douglas Tyler M.D. a Professional

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G42734 Issued in CA

Legal business name

DOUGLAS TYLER M.D. A PROFESSIONAL

Practice address

2811 Wilshire Blvd
Suite 800
Santa Monica, CA 90403-4803

Phone

(310) 828-0733

Fax

(310) 828-0711

NPI assigned

Apr 11, 2016

Organization subpart

No

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

Authorized official

Name

Douglas Tyler, M.D.

Title

Owner

Phone

(310) 828-0733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1881058303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900646115",
            "telephone_number": "310-470-0386",
            "fax_number": "310-694-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD",
            "address_2": "SUITE 800",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034803",
            "telephone_number": "310-828-0733",
            "fax_number": "310-828-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS TYLER M.D. A PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-828-0733",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G42734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tajunia Dorton
• Bella Doshi
• Shephal K Doshi, M.D.
• Doris Doss, MFT
• Lauren Doud
• Christopher Richard Douglas
• Erica Renee Douglas, LVN
• Valerie Douglas, PHD
• Howard Dounn
• Karen Ann Douvillier, FNP

• Internal Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.