MICHAEL BRADFORD TYSON LVN
NPI 1477378446
Licensed Vocational Nurse in San Jose, CA

Q: What is Michael Tyson's NPI number?

The NPI number for Michael Tyson is 1477378446. It was assigned to this individual provider in the NPPES registry on November 15, 2024.

Q: What is Michael Tyson's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Tyson was last updated on June 23, 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 November 15, 2024

425 E SANTA CLARA ST, SAN JOSE, CA 95113(408) 299-0462 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2025, Nov 15, 2024 (2 updates tracked since 2024).

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About Michael Bradford Tyson Lvn NPPES

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

MICHAEL BRADFORD TYSON LVN (NPI 1477378446) is an individual licensed vocational nurse in San Jose, California, licensed in California (703730) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1477378446

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameMICHAEL BRADFORD TYSONCredential: LVN

Location Address425 E SANTA CLARA STSan Jose, CA 95113-1936

Mailing Address425 E Santa Clara StSan Jose, CA 95113-1936 · (408) 483-0418

Phone(408) 299-0462

Sole ProprietorNo

Enumeration DateNovember 15, 2024

Last NPPES UpdateJune 23, 20252 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1477378446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 703730

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

425 E SANTA CLARA ST, San Jose, CA 95113

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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.

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