TYLER JOHNSTON (NPI# 1881031177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881031177 |
| Entity Type | Individual |
| Full Name | TYLER JOHNSTON |
| Credential | M.D. |
| Practice Address |
101 The City Dr S Bldg 29a Orange CA 92868-3201 |
| Practice Telephone | 7144567801 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A131801 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Pasteur Dr, Room Hc435, Stanford, CA 943052200 | 6507235948 | |
| Duke University Medical Center, Durham, NC 277102200 | 9196681894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445253 | Tyler Louis Johnston | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-09 |
| 1063048965 | Tyler Johnston | Physical Therapist | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 2020-03-23 |
| 1639734403 | Tyler Johnston | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2019-05-07 |
| 1174012892 | Tyler K Johnston | Specialist/Technologist | 3140 Waialae Ave, Honolulu, HI 96816-1510 | 2018-05-08 |
| 1316364300 | Tyler Johnston | Physical Therapist | 2450 Wolf Rd, Suite E, Westchester, IL 60154-5643 | 2014-03-27 |
| 1053591891 | Tyler Johnston | Counselor | 3765 S Higuera St Ste 100, San Luis Obispo, CA 93401-1577 | 2007-11-09 |
| Street Address |
101 THE CITY DR S BLDG 29A |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497983761 | Andrew Ray Hsu | Orthopaedic Surgery | 101 The City Dr S Bldg 29a, Orange, CA 92868-3201 | 2009-06-25 |
| 1639708274 | Eric Smith | Student in an Organized Health Care Education/Training Program | 101 The City Dr S Bldg 29a, Orange, CA 92868-3201 | 2020-04-06 |
| 1073001962 | Justin Haghverdian | Student in an Organized Health Care Education/Training Program | 101 The City Dr S Bldg 29a, Orange, CA 92868-3201 | 2018-04-25 |
| 1790211696 | Hayk Stepanyan | Student in an Organized Health Care Education/Training Program | 101 The City Dr S Bldg 29a, Orange, CA 92868-3201 | 2017-05-11 |
| 1255733713 | Taras Pylypiv | Physician Assistant | 101 The City Dr S Bldg 29a, Orange, CA 92868-3201 | 2014-09-16 |
| 1235438482 | Dean Wang | Orthopaedic Surgery | 101 The City Dr S Bldg 29a, Orange, CA 92868 | 2011-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013306174 | Spine and Sports Specialities Medical Group | Orthopaedic Surgery | 1120 W. La Veta Avenue, Suite 300, Orange, CA 92868-4233 | 2015-01-13 |
| 1902243934 | Kevin Cyrus Parvaresh | Orthopaedic Surgery | 280 S Main St Ste 200, Orange, CA 92868-3852 | 2013-05-31 |
| 1316213382 | Kelly Frances Davis | Orthopaedic Surgery | 1310 W Stewart Dr Ste 508, Orange, CA 92868-3856 | 2012-03-23 |
| 1235438482 | Dean Wang | Orthopaedic Surgery | 101 The City Dr S Bldg 29a, Orange, CA 92868 | 2011-03-26 |
| 1508055393 | Robert Carlyle Grumet | Orthopaedic Surgery | 280 S Main St, Suite 200, Orange, CA 92868-3852 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341618 | Casey S Revenko | Orthopaedic Surgery | 2999 Regent St Ste 225, Berkeley, CA 94705-2117 | 2019-05-15 |
| 1225504301 | Amgad Alfred | Orthopaedic Surgery | 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 | 2018-10-16 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1073026696 | Optimal Physician Surgical Group | Orthopaedic Surgery | 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 | 2017-11-06 |
| 1336669456 | Beach Cities Orthopedics Surgery Center, LLC | Orthopaedic Surgery | 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 | 2017-06-20 |
| 1750818860 | Health Link Medical Group Inc | Orthopaedic Surgery | 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 | 2017-05-19 |
| 1962861476 | Mehta Orthopedics | Orthopaedic Surgery | 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 | 2016-02-12 |
| 1649646282 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Orthopaedic Surgery | 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 | 2015-08-18 |
| 1114346111 | Sean Robinson | Orthopaedic Surgery | 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 | 2014-04-08 |
| 1851717938 | William R Campbell Do Prof Corp | Orthopaedic Surgery | 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 | 2014-03-12 |
| Find all providers with the same taxonomy | ||||
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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.