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TYLER JACOB HENDRICKS M.D. NPI 1295114171


NPI Information

NPI: 1295114171
Provider Name: TYLER JACOB HENDRICKS, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
6195 LUSK BLVD STE 250
SAN DIEGO, CA
ZIP 92121
Phone: (239) 343-2371
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Tyler Jacob Hendricks, M.D. is a family medicine in San Diego, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Tyler Jacob Hendricks, M.D. NPI is 1295114171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6195 LUSK BLVD STE 250
SAN DIEGO, CA
ZIP 92121-715
Phone: (239) 343-2371

The enumeration date for this NPI number is 5/25/2015 and was last updated on 11/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineD86787MARYLANDNo
2207Q00000XFamily Medicine311985LOUISIANANo
3207Q00000XFamily Medicine25MA10673900NEW JERSEYNo
4207Q00000XFamily MedicineMD466543PENNSYLVANIANo
5207Q00000XFamily MedicineMD-19793HAWAIINo
6207Q00000XFamily Medicine11567414-1205UTAHNo
7207Q00000XFamily MedicineMD23563MAINENo
8207Q00000XFamily Medicine35178OKLAHOMANo
9207Q00000XFamily MedicineDR.0062561COLORADONo
10207Q00000XFamily MedicineME133173FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.