Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TYLER GRANT WALDRON, PA-C
ActiveMR. TYLER GRANT WALDRON, PA-C is a Physician Assistant healthcare provider located in MISSION VIEJO, California. NPI 1407205875 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MISSION VIEJO, CA
Registration Details
- NPI Number
- 1407205875
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2016 (10.182878792585 yrs)
- Last Updated
- Jun 7, 2016
- Licenses
-
53447 (CA)53447 (CA)
Practice Information
- Address
-
26401 CROWN VALLEY PKWYSTE 101MISSION VIEJO, CA, 926916302Browse CA providers · Browse ZIP 92691
- Phone
- 9493484000
- Fax
- 9493487466
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
Other Physician Assistant Providers in MISSION VIEJO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. GLENN PHILLIPS | PA | 1023090487 |
| LORELEI MARIE OPENE | PA-C | 1659350445 |
| JOSE A. SUAZO | PA-C | 1639122153 |
| STEPHANIE MIGNON SISNEROS | PA-C | 1356397970 |
| LINDA CHRISTINE KIEHLMEIR | P.A-C | 1902834575 |
| LARA A MANCHIK | P.A.C. | 1639108327 |
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.