Individual provider Active NPI

Dale Amanda Tylor, M.D.

  • Pediatric Otolaryngology Physician
  • Santa Barbara, CA
National Provider Identifier
1891884359
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
A100181 Issued in CA
Practice address
1819 State St Ste a
Santa Barbara, CA 93101-2481
Phone
(805) 327-6673
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X A100181 CA Primary

Addresses

Primary practice location

1819 State St Ste a
Santa Barbara, CA 93101-2481

Mailing address

1819 State St Ste a
Santa Barbara, CA 93101-2481
Phone (805) 327-6673

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130318000124 CA Practitioner - Otolaryngology 0143374777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riviera ENT PCGroup PAC ID 2062845027, 2 clinicians

Practice addresses (Care Compare)

1819 State St
Suite a
Santa Barbara, CA 93101-2481
Phone (805) 327-6673

Hospital & facility affiliations

  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45173TNMDPharmacist
A100181CAMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lompoc Valley Medical Center CurrentSince Jan 15, 2019 Accepting new patients
Riviera ENT PC CurrentSince Aug 2, 2019 Accepting new patients

Locations

136 N 3rd St
Lompoc, CA 93436
Phone (805) 736-1253

1225 N H St
Lompoc, CA 93436
Phone (805) 737-8700

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

1819 State St
Ste A
Santa Barbara, CA 93101
Phone (302) 530-4308

Interoperability endpoints

  • Direct secure messaging: dale.tylor@249064212398084.direct.elationemr.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1891884359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 STATE ST STE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012481",
            "telephone_number": "805-327-6673",
            "fax_number": "805-946-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 STATE ST STE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012481",
            "telephone_number": "805-327-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLOR",
        "first_name": "DALE",
        "middle_name": "AMANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "CA",
            "license": "A100181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.