TYLER SCANDALIS DAWSON
NPI 1891438990
Student in an Organized Health Care Education/Training Program in Glendale, CA

Active since April 16, 2022PECOS Enrolled
1509 WILSON TER, GLENDALE, CA 91206(818) 409-8000 Get Directions Write a Review

NPPES record last updated: July 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Scandalis Dawson NPPES

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

TYLER SCANDALIS DAWSON (NPI 1891438990) is an individual student in an organized health care education/training program in Glendale, California and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891438990
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER SCANDALIS DAWSON
Location Address1509 WILSON TERGlendale, CA 91206-4007
Mailing Address7405 Magellan StCarlsbad, CA 92011-5410
Sole ProprietorNo
Enumeration DateApril 16, 2022
Last NPPES UpdateJuly 20, 2025
NPPES CertifiedJuly 20, 2025
NPI 1891438990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 20A21772 (CA)
1509 WILSON TER, Glendale, CA 91206

Other Identifiers 1

Other20A21772CA · California Medical License #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tyler Scandalis Dawson 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.

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.

Student in an Organized Health Care Education/Training Program
1509 WILSON TER
GLENDALE, CA 91206
Emergency Medicine
1509 WILSON TER, EMERGENCY DEPARTMENT
GLENDALE, CA 91206
Anesthesiology
1509 WILSON TER
GLENDALE, CA 91206
Pharmacist
1509 WILSON TER
GLENDALE, CA 91206
Pharmacist
1509 WILSON TER
GLENDALE, CA 91206
Student in an Organized Health Care Education/Training Program
1509 WILSON TER
GLENDALE, CA 91206
Radiology (Diagnostic Radiology)
1509 WILSON TER
GLENDALE, CA 91206
Radiology (Vascular & Interventional Radiology)
1509 WILSON TER
GLENDALE, CA 91206

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 Dawson's NPI number?

The NPI number for Tyler Dawson is 1891438990. It was assigned to this individual provider in the NPPES registry on April 16, 2022.

Where is Tyler Dawson located?

Tyler Dawson practices at 1509 Wilson Ter, Glendale, CA 91206. The listed phone number is (818) 409-8000.

What is Tyler Dawson'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 Dawson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tyler Dawson was last updated on July 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.