TYLER JOSEPH THOMPSON (NPI# 1770141004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770141004 |
| Entity Type | Individual |
| Full Name | TYLER JOSEPH THOMPSON |
| Credential | DO |
| Practice Address |
309 E 2nd St Pomona CA 91766-1854 |
| Practice Telephone | 5164496655 |
| Enumeration Date | 2019-06-01 |
| Last Update Date | 2019-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 95171623G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083275762 | Tyler Bradshaw Thompson | Military Health Care Provider | 34, Farenholt Ave, San Diego, CA 92134-0001 | 2019-06-24 |
| 1306486733 | Tyler Thompson | Behavior Technician | 7011 Campus Dr Ste 205, Colorado Springs, CO 80920-3104 | 2020-01-14 |
| 1588137251 | Tyler Michael Thompson | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2019-01-06 |
| 1215411681 | Tyler Thompson | Physical Therapy Assistant | 245 Sycamore St, Sauk City, WI 53583-1013 | 2018-09-20 |
| 1033587530 | Tyler Mcpherson Thompson | Pharmacist | 200 Glynn Isle, Brunswick, GA 31525-2929 | 2015-09-14 |
| 1093183667 | Tyler Thompson | Pharmacist | 3350 E Princess Anne Rd, Norfolk, VA 23502-1564 | 2015-09-12 |
| 1730555624 | Tyler Thompson | Pharmacist | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2015-08-14 |
| 1467845578 | Tyler Jay Thompson | Specialist/Technologist | 206 S Elmwood Ave, Traverse City, MI 49684-2326 | 2015-03-13 |
| 1194113530 | Tyler Thompson | Case Manager/Care Coordinator | 121 Sawgrass Pt, Harrison, AR 72601-3072 | 2015-01-08 |
| 1639501380 | Tyler Thompson | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2013-08-05 |
| Street Address |
309 E 2ND ST |
| City | POMONA |
| State | CA |
| Zip Code | 91766-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801898069 | Roger S. Klotz | Pharmacist | 309 E 2nd St, Pomona, CA 91766-1854 | 2005-06-01 |
| 1003415167 | Brittney Tunon | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-10-20 |
| 1972116812 | Derek Adu Sarpong | Student in an Organized Health Care Education/Training Program | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-08-29 |
| 1427661321 | David Nathan Blatz | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-08-28 |
| 1841802535 | Robert Thomas Ah Sue | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-08-23 |
| 1609488493 | Simon Ball | Student in an Organized Health Care Education/Training Program | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-08-21 |
| 1942812029 | Emma Christine Roznos | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-08-19 |
| 1407467897 | Horia N Moroaica | Emergency Medicine | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-08-11 |
| 1336758705 | Camille Renee Richardson | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-07-30 |
| 1487272647 | Carlitos Chen | Student in an Organized Health Care Education/Training Program | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999494 | Justine Arce | Massage Therapist | 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 | 2020-10-15 |
| 1699287938 | Monika Stephanie Wan | Pharmacist | 710 Rio Rancho Road, Pomona, CA 91766 | 2017-10-26 |
| 1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
| 1770971715 | Hanzel Mendez | Physical Therapist | 1080 Verbena Court, Pomona, CA 91766 | 2014-12-29 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
| 1134556012 | Imperial Hospice, Inc. | Hospice Care, Community Based | 363 S Park Ave Ste 105, Pomona, CA 91766 | 2013-10-08 |
| 1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
| 1245573567 | Terry Chang | Acupuncturist | 3060 W. Temple Ave., Pomona, CA 91766 | 2013-04-04 |
| 1215271085 | Emmanuel Castro | Counselor | 4 Village Loop, Phillips Ranch, CA 91766 | 2012-11-19 |
| Find all providers in zip 91766 | ||||
| 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 |
|---|---|---|---|---|
| 1972126456 | Hauna Rene Payne | Student in an Organized Health Care Education/Training Program | 2173 Florida Rd, Pomona, KS 66076-9104 | 2020-05-19 |
| 1992334726 | Brandon Don Huynh | Student in an Organized Health Care Education/Training Program | 309 E 2nd St # 2319, Pomona, CA 91766-1854 | 2020-04-03 |
| 1710514351 | Syeda Sundus Mujahid | Student in an Organized Health Care Education/Training Program | 2 Kohut St, Pomona, NY 10970-3720 | 2020-03-24 |
| 1447880091 | Reem Aljanabi | Student in an Organized Health Care Education/Training Program | 510 E 3rd St Apt 420, Pomona, CA 91766-1904 | 2020-01-23 |
| 1124550926 | Joshua Napial | Student in an Organized Health Care Education/Training Program | 47 Redrock Ln, Pomona, CA 91766-4943 | 2017-03-30 |
| 1659820488 | Yessenia Rojas | Student in an Organized Health Care Education/Training Program | 1504 Smith St, Pomona, CA 91766-2517 | 2016-09-21 |
| 1841516416 | Maria Redinger | Student in an Organized Health Care Education/Training Program | 430 E Kingsley Ave, Pomona, CA 91767-4722 | 2010-04-08 |
| 1396344479 | Sophie Solow | Student in an Organized Health Care Education/Training Program | 1568 Mcleod Pl, Pomona, CA 91768-1348 | 2020-10-20 |
| 1598370793 | Jessica Fuentes-ramirez | Student in an Organized Health Care Education/Training Program | 160 E Holt Ave Ste B, Pomona, CA 91767-5407 | 2020-09-14 |
| 1508470071 | Melissa Banuelos | Student in an Organized Health Care Education/Training Program | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-09-02 |
| Find all providers in POMONA | ||||
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| 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.