DR. TYLER ANDREW PETERSON (NPI# 1124643960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124643960 |
| Entity Type | Individual |
| Full Name | DR. TYLER ANDREW PETERSON |
| Credential | DO |
| Practice Address |
1150 N Indian Canyon Dr Palm Springs CA 92262-4872 |
| Practice Telephone | 7605617373 |
| Mailing Telephone | 7605617373 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780042036 | Tyler James Peterson | Chiropractor | 8470 City Centre Dr Ste D, Woodbury, MN 55125-3356 | 2016-02-02 |
| 1306074836 | Tyler Blaine Peterson | Dentist | 625 E. Nicollet Blvd., Suite 340, Burnsville, MN 55337 | 2009-06-23 |
| 1093291700 | Tyler Peterson Peterson | Physical Therapy Assistant | 1334 N Whitman Ln Ste 100, Liberty Lake, WA 99019-6034 | 2018-07-16 |
| 1821523184 | Tyler Peterson | Chiropractor | 1302 W 7th St, Wayne, NE 68787-1692 | 2017-04-25 |
| 1467800243 | Tyler Alan Peterson | Family Medicine | 888 S Rancho Dr, Las Vegas, NV 89106-3810 | 2016-06-02 |
| 1639328784 | Tyler Jeffrey Peterson | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2008-09-13 |
| Street Address |
1150 N INDIAN CANYON DR |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-4872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679567366 | Joline H Abrahams | Pathology | 1150 N Indian Canyon Dr, Dept of Pathology, Palm Springs, CA 92262-4872 | 2005-09-08 |
| 1548860687 | Claudimar Hernandez Brenner | Nurse Practitioner | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-10-28 |
| 1700402005 | Joel T Comer | Nurse Anesthetist, Certified Registered | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-06-23 |
| 1619592235 | Anh The Luong | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-06-09 |
| 1134742703 | Desert Physicians Medical Group Health | Internal Medicine | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-05-18 |
| 1114549003 | Pragati Hitesh Mamtora | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-05-13 |
| 1295357275 | Kathleen Fleming | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-05-12 |
| 1154943330 | Ulysses Rivero Garcia | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-05-11 |
| 1821618778 | Nina Nhu-y Duong Nguyen | Nurse Anesthetist, Certified Registered | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-04-21 |
| 1174143218 | Jessica Rose Vittorelli | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1922629112 | Samer Kebbeh | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr Ste W214, Palm Springs, CA 92262-4872 | 2020-04-29 |
| 1851911911 | Shelby Roberts | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr Dept Of, Palm Springs, CA 92262-4872 | 2020-04-19 |
| 1427677996 | Jaymes Allen Jeremiah Lonzanida | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr # Ca92262, Palm Springs, CA 92262-4872 | 2020-04-14 |
| 1386105708 | Saad Karamat | Student in an Organized Health Care Education/Training Program | 100 N Palm Canyon Dr Ste 109, Palm Springs, CA 92262-5504 | 2019-03-28 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1063909703 | Christopher Alawode | Student in an Organized Health Care Education/Training Program | 1180 N Palm Canyon Dr Ste W214, Palm Springs, CA 92262-4402 | 2018-04-18 |
| 1699270355 | Robert Troy Elliott | Student in an Organized Health Care Education/Training Program | 1150 N Palm Canyon Dr Ste 109, Palm Springs, CA 92262-4872 | 2018-03-26 |
| 1689109605 | Joshua C Nelson | Student in an Organized Health Care Education/Training Program | Desert Regional Medical Center, 1150 N Indian Canyon Dr, Palm Springs, CA 92262 | 2017-04-27 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
Please comment or provide details below to improve the information on DR. TYLER ANDREW PETERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.