DR. JONATHAN TYE M.D. NPI 1417057068

NPI Information

  • NPI: 1417057068
  • Provider Name: DR. JONATHAN TYE, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D0937008
  • Address: 1250 S SUNSET AVE
    STE 202
    WEST COVINA, CA
    ZIP 91790
  • Phone: (626) 960-6588

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NPI Details

DR. Jonathan Tye, M.D. is a cardiovascular disease internal medicine in West Covina, CA with 44 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Jonathan Tye, M.D. NPI is 1417057068. 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:

1250 S SUNSET AVE
STE 202
WEST COVINA, CA
ZIP 91790-961
Phone: (626) 960-6588
Fax: (626) 338-0688

The NPI 1417057068 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0937008 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Evaluation of implantable heart and blood vessel monitoring system (HCPCS:93290)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 9/24/2006 and was last updated on 9/20/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseA44747CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A44747MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIASTATE LICENSE
2E90933MEDICARE UPINCALIFORNIA
300A44747MEDICAIDCALIFORNIA

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: 11/21/2025

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