Individual provider · Type 1 NPI

Tyler Grant Waldron, PA-C

Physician Assistant · Mission Viejo, CA

NPI number 1407205875 Active

Practice location

26401 Crown Valley Pkwy, Ste 101
Mission Viejo, CA 92691-6302

Fax (949) 348-7466

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X53447 (CA)
Surgical Physician Assistant 363AS0400X53447 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407205875

Tyler Grant Waldron, PA-C's National Provider Identifier is 1407205875, issued on Jun 7, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mission Viejo, CA. The record was last updated on Jun 7, 2016.