Individual provider Active NPI

Thomas Tyler, M.D.

  • Ophthalmology Physician
  • San Carlos, CA
National Provider Identifier
1972587459
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C50482 Issued in CA
Practice address
1140 Laurel St
Ste. a
San Carlos, CA 94070-5009
Phone
(650) 551-1103
Fax
(650) 551-1104
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C50482 CA Primary

Addresses

Primary practice location

1140 Laurel St
Ste. a
San Carlos, CA 94070-5009

Mailing address

1140 Laurel St
Ste. a
San Carlos, CA 94070-5009
Phone (650) 551-1103

Other identifiers 1

IdentifierTypeStateIssuer
00C50482MedicaidCA

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
I20080630000394 CA Practitioner - Ophthalmology 8729150123 Practice locations: San Carlos, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C50482CAMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972587459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 LAUREL ST",
            "address_2": "STE. A",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705009",
            "telephone_number": "650-551-1103",
            "fax_number": "650-551-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 LAUREL ST",
            "address_2": "STE. A",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705009",
            "telephone_number": "650-551-1103",
            "fax_number": "650-551-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C50482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C50482",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

Verify at the official NPI Registry.