Tykeno Dupree Miles, AS, AA

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

6058246735 Issued in CA

Practice address

2442 Santa Ana N
Los Angeles, CA 90059-2106

Phone

(424) 213-9143

Fax

(323) 537-4295

NPI assigned

Feb 28, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tykeno Dupree Miles Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Arts, Associate of Science

State licenses

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1922805571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 SANTA ANA N",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592106",
            "telephone_number": "424-213-9143",
            "fax_number": "323-537-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 SANTA ANA N",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592106",
            "telephone_number": "424-213-9143",
            "fax_number": "323-537-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "TYKENO",
        "middle_name": "DUPREE",
        "credential": "AS, AA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "6058246735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYKENO",
            "last_name": "MILES",
            "middle_name": "DUPREE",
            "credential": "DIRECT SUPPORT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Peggy B Miles, M.D.
• Samuel I Miles, MD
• Sonji Patrice Miles
• Steven Aloysius Miles, M.D.
• Tommie Lee Miles
• Thomas Ralph Miley, MSW/ACSW
• Gerald D. Milfort
• Miranda Deloris Milfort, PA
• Milgrom Medical Inc.
• Etan Milgrom, MD

• Developmentally Disabled Services Day Training Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Developmentally Disabled Services Day Training Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.