TYLER BRADSHAW THOMPSON (NPI# 1083275762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083275762 |
| Entity Type | Individual |
| Full Name | TYLER BRADSHAW THOMPSON |
| Credential | IDC |
| Practice Address |
34, Farenholt Ave San Diego CA 92134-0001 |
| Mailing Address |
10061 Rio San Diego Dr Apt 302 San Diego CA 92108-5659 |
| Practice Telephone | 6195327962 |
| Mailing Telephone | 7404245556 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MILITARY | 59672019 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486733 | Tyler Thompson | Behavior Technician | 7011 Campus Dr Ste 205, Colorado Springs, CO 80920-3104 | 2020-01-14 |
| 1770141004 | Tyler Joseph Thompson | Student in an Organized Health Care Education/Training Program | 309 E 2nd St, Pomona, CA 91766-1854 | 2019-06-01 |
| 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 |
34, FARENHOLT AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
| Find all providers in zip 92134 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692389 | Christopher Matey | Military Health Care Provider | 34800 Bob Wilson Dr Ste 110, San Diego, CA 92134-1110 | 2020-05-29 |
| 1982225769 | Jin Ah Kim | Military Health Care Provider | Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 | 2020-05-03 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1588292858 | Korina Erin Sandoval | Military Health Care Provider | Naval Medical Center Drive 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-03-31 |
| 1033746508 | Hannah Johnson | Military Health Care Provider | 34800 Bob Wilson Dr Ste 403, San Diego, CA 92134-1403 | 2020-03-25 |
| 1891336541 | Prana Hands Nonprofit | Military Health Care Provider | 2180 Garnet Ave Ste 3l, San Diego, CA 92109-3676 | 2019-10-03 |
| 1992366587 | Darion Pegues | Military Health Care Provider | 3530 Kelsey St, San Diego, CA 92124-3516 | 2019-06-24 |
| 1558924274 | Nathan Alley-byrd | Military Health Care Provider | Navy Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2019-04-18 |
| 1013570290 | Mckennan A Cook | Military Health Care Provider | Nmcsd 34800 Bob Wilson Drive, San Diego, CA 92134-3300 | 2019-04-15 |
| 1295298172 | James Gill | Military Health Care Provider | 2825 Shoup Dr, San Diego, CA 92110-4866 | 2019-04-09 |
| Find all providers in SAN DIEGO | ||||
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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.