Tyler Cole De Leon I

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

88321 Issued in CA

Practice address

1801 Park Court PL BLDG H
Santa Ana, CA 92701-5028

Phone

(714) 352-1698

NPI assigned

Jan 27, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1912238197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S QUINTANA DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074029",
            "telephone_number": "714-988-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PARK COURT PL BLDG H",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015028",
            "telephone_number": "714-352-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "TYLER",
        "middle_name": "COLE",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-27",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcella De la Vega
• Omar De la Vega, LMFT, LPCC
• Taralyn De Leeuw
• Adriana De Leon
• Jasmine Yvonne De Leon
• Aaron De Loera
• Michael Anthony De Los Reyes
• Verenice De Los Santos
• Carmina De Loza, PHARMACY TECHNICIAN
• Patricia De Marco Centeno, MD

• Clinical Social Worker in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.