Active NPI
Tyler Dustin Krohn, M.D.
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1992931190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A106309
- Practice address
- 1999 Avenue of the Stars
Suite 3800
Los Angeles, CA 90067-6022 - Phone
- (310) 229-3133
- NPI assigned
- Jun 2, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A106309 | CA | Primary |
Addresses
Primary practice location
1999 Avenue of the Stars
Suite 3800
Los Angeles, CA 90067-6022
Mailing address
1999 Avenue of the Stars
Suite 3800
Los Angeles, CA 90067-6022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A106309 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1992931190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 AVENUE OF THE STARS",
"address_2": "SUITE 3800",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900676022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 AVENUE OF THE STARS",
"address_2": "SUITE 3800",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900676022",
"telephone_number": "310-229-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROHN",
"first_name": "TYLER",
"middle_name": "DUSTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-02",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A106309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.