Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER JACOB HENDRICKS, M.D.
ActiveTYLER JACOB HENDRICKS, M.D. is a Family Medicine healthcare provider located in SAN DIEGO, California. NPI 1295114171 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SAN DIEGO, CA
Registration Details
- NPI Number
- 1295114171
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2015 (11.212977529378 yrs)
- Last Updated
- Nov 3, 2022
- Licenses
-
D86787 (MD)311985 (LA)25MA10673900 (NJ)MD466543 (PA)MD-19793 (HI)
Practice Information
- Address
-
6195 LUSK BLVD STE 250SAN DIEGO, CA, 921213715Browse CA providers · Browse ZIP 92121
- Phone
- 2393432371
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. LISA MARIE MUSIAL | DO | 1336145697 |
| DR. JOHN NEWTON CAREY | D.O. | 1801893672 |
| NORMAN ROSEN | M.D | 1720085673 |
| EMMETT LEE RICE | D.O. | 1073511150 |
| TERRI LEA RIDDIFORD | MD | 1649279498 |
| CHIA-LIN LIU | D.O. | 1720088552 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.