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DR. TYLER KEITH CLARK D.C.
NPI 1730540295
Chiropractor in Redondo Beach, CA

Active since March 11, 2016Accepts Medicare Assignment
819 N HARBOR DR STE 100, REDONDO BEACH, CA 90277(712) 208-0062 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tyler Keith Clark D.c. NPPES

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

DR. TYLER KEITH CLARK D.C. (NPI 1730540295) is an individual chiropractor in Redondo Beach, California, licensed in California (33482) and active in the NPI registry since March 2016. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1730540295
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TYLER KEITH CLARKCredential: D.C.
Location Address819 N HARBOR DR STE 100Redondo Beach, CA 90277-2086
Mailing Address819 N Harbor Dr Ste 100Redondo Beach, CA 90277 · (712) 208-0062
Phone(712) 208-0062
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 11, 2016
Last NPPES UpdateSeptember 13, 2016
✔ NPI 1730540295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 33482
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
819 N HARBOR DR STE 100, Redondo Beach, CA 90277
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Other Identifiers 1

Medicare PINCB259565CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Dr. Tyler Keith Clark D.c. 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 ID8224323761
PECOS Enrollment IDI20160823003103

Areas of Expertise CMS Part B claims

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
61 services11 patients

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 Clark's NPI number?

The NPI number for Tyler Clark is 1730540295. It was assigned to this individual provider in the NPPES registry on March 11, 2016.

Where is Tyler Clark located?

Tyler Clark practices at 819 N Harbor Dr Ste 100, Redondo Beach, CA 90277. The listed phone number is (712) 208-0062.

What is Tyler Clark's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Tyler Clark enrolled in Medicare?

Yes. Tyler Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tyler Clark accept?

Health plans from Providence Health Plan list Tyler Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Clark was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.