TYE DEPENA M.D.
NPI 1467459735
Family Medicine in Watsonville, CA

Active since July 01, 2005
1505 MAIN ST, WATSONVILLE, CA 95076(831) 722-1444(831) 722-4414 Get Directions Write a Review

NPPES record last updated: February 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tye Depena M.d. NPPES

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

TYE DEPENA M.D. (NPI 1467459735) is an individual family medicine provider in Watsonville, California, licensed in California (A60990) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1467459735
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTYE DEPENACredential: M.D.
Location Address1505 MAIN STWatsonville, CA 95076-3761
Mailing AddressDept La 23183Pasadena, CA 91185-0001 · (831) 649-1000 · Fax (831) 649-4966
Fax(831) 722-4414
Sole ProprietorNo
Enumeration DateJuly 1, 2005
Last NPPES UpdateFebruary 8, 2010
NPI 1467459735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A60990
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1505 MAIN ST, Watsonville, CA 95076

Other Identifiers 2

Medicare UPING97112CA
Medicare PINBH142ACA

Other Providers at the Same Location NPPES 7

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

Non-Pharmacy Dispensing Site
1505 MAIN ST
WATSONVILLE, CA 95076
Physician Assistant
1505 MAIN ST
WATSONVILLE, CA 95076
General Practice
1505 MAIN ST
WATSONVILLE, CA 95076
Physician Assistant (Medical)
1505 MAIN ST
WATSONVILLE, CA 95076
Physician Assistant
1505 MAIN ST
WATSONVILLE, CA 95076
Emergency Medicine
1505 MAIN ST
WATSONVILLE, CA 95076
Nurse Practitioner (Primary Care)
1505 MAIN ST
WATSONVILLE, CA 95076

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 Tye Depena's NPI number?

The NPI number for Tye Depena is 1467459735. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Tye Depena located?

Tye Depena practices at 1505 Main St, Watsonville, CA 95076. The listed phone number is (831) 722-1444.

What is Tye Depena's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tye Depena was last updated on February 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.