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DR. TYLER JAMES GALLAGHER MD MPH
NPI 1457153199
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 25, 2025PECOS Enrolled
1200 N STATE ST # A2E, LOS ANGELES, CA 90089(706) 676-6574 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Tyler James Gallagher Md Mph NPPES

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

DR. TYLER JAMES GALLAGHER MD MPH (NPI 1457153199) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1457153199
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. TYLER JAMES GALLAGHERCredential: MD MPH
Location Address1200 N STATE ST # A2ELos Angeles, CA 90089-1001
Mailing Address1200 N State St # A2eLos Angeles, CA 90089-1001 · (706) 676-6574
Phone(706) 676-6574
Sole ProprietorNo
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1457153199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST # A2E, Los Angeles, CA 90089
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Secondary Practice Location 1

Location 11537 Norfolk St Ste 5800Los Angeles, CA 90033-1023 · Phone (706) 676-6574

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyler James Gallagher Md Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Tyler Gallagher's NPI number?

The NPI number for Tyler Gallagher is 1457153199. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Tyler Gallagher located?

Tyler Gallagher practices at 1200 N State St # A2e, Los Angeles, CA 90089. The listed phone number is (706) 676-6574.

What is Tyler Gallagher's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tyler Gallagher enrolled in Medicare?

Yes. Tyler Gallagher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Gallagher was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.