TYLER ELLIS
NPI 1134834310
Physician Assistant in Beverly Hills, CA

Q: What is Tyler Ellis's NPI number?

The NPI number for Tyler Ellis is 1134834310. It was assigned to this individual provider in the NPPES registry on January 20, 2023.

Q: What is Tyler Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Ellis was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 20, 2023PECOS EnrolledAccepts Medicare Assignment

8767 WILSHIRE BLVD FL 2, BEVERLY HILLS, CA 90211(310) 423-3333(310) 423-1300 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, Apr 3, 2024, Jan 20, 2023 (3 updates tracked since 2023).

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About Tyler Ellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER ELLIS (NPI 1134834310) is an individual physician assistant in Beverly Hills, California, licensed in California (PA64180) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1134834310

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTYLER ELLIS

Location Address8767 WILSHIRE BLVD FL 2Beverly Hills, CA 90211-2714

Mailing Address4140 W 190th StTorrance, CA 90504-5513

Phone(310) 423-3333

Fax(310) 423-1300

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 20, 2023

Last NPPES UpdateJune 27, 20253 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1134834310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA64180

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

8767 WILSHIRE BLVD FL 2, Beverly Hills, CA 90211

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler Ellis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597106112

PECOS Enrollment IDI20240514003206

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CAROL L LEYNES PA-C

Physician Assistant