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MR. RODNEY TYSON PAC
NPI 1396805800
Physician Assistant - Medical in Long Beach, CA

Active since December 12, 2006
1250 BELLFLOWER BLVD, SHS, LONG BEACH, CA 90840(562) 985-5146(562) 985-8404 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Rodney Tyson Pac NPPES

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

MR. RODNEY TYSON PAC (NPI 1396805800) is an individual medical provider in Long Beach, California, licensed in California (PA13814) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1396805800
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. RODNEY TYSONCredential: PAC
Location Address1250 BELLFLOWER BLVD, SHSLong Beach, CA 90840-0201
Mailing Address1250 Bellflower Blvd, ShsLong Beach, CA 90840-0201 · (562) 985-4664
Phone(562) 985-5146
Fax(562) 985-8404
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396805800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA13814
1250 BELLFLOWER BLVD, Long Beach, CA 90840
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Other Providers at the Same Location NPPES 8

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

MR. FRED A NAKAMURA MD
General Practice
1250 BELLFLOWER BLVD, SHS
LONG BEACH, CA 90840
Los Angeles County (562) 985-5146
DR. KAREN ROOS PHD, MSPT, ATC
Specialist/Technologist (Athletic Trainer)
1250 BELLFLOWER BLVD, HHS2-205
LONG BEACH, CA 90840
Los Angeles County (949) 307-6101
DR. MICHAEL NICHOLAS CARBUTO DO
Family Medicine
1250 BELLFLOWER BLVD, SHS
LONG BEACH, CA 90840
Los Angeles County (562) 985-4771
MRS. RACHEL RENEE MACIEL FNP
Nurse Practitioner
1250 BELLFLOWER BLVD, SHS
LONG BEACH, CA 90840
Los Angeles County (562) 985-5146
MS. LAUREL JEAN BABCOCK GILL NP
Nurse Practitioner
1250 BELLFLOWER BLVD, SHS
LONG BEACH, CA 90840
Los Angeles County (562) 985-5146
MS. EVELYN L LOWE RNP
Nurse Practitioner
1250 BELLFLOWER BLVD, SHS
LONG BEACH, CA 90840
Los Angeles County (562) 985-5146
MR. JUSTIN CAOVAN
Student in an Organized Health Care Education/Training Program
1250 BELLFLOWER BLVD
LONG BEACH, CA 90840
Los Angeles County (717) 742-6930
MS. PATRICIA ANN CONVERY MD
General Practice
1250 BELLFLOWER BLVD, SHS
LONG BEACH, CA 90840
Los Angeles County (562) 985-5146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rodney Tyson's NPI number?

The NPI number for Rodney Tyson is 1396805800. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Rodney Tyson located?

Rodney Tyson practices at 1250 Bellflower Blvd Shs, Long Beach, CA 90840. The listed phone number is (562) 985-5146.

What is Rodney Tyson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Rodney Tyson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.