Individual provider · Type 1 NPI

Kathryn Tyler, PA-C

Physician Assistant · Mission Viejo, CA

NPI number 1629633789 Active

Practice location

26732 Crown Valley Pkwy
Mission Viejo, CA 92691-6306

Mailing address

29672 Seriana
Laguna Niguel, CA 92677-7967

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X56520 (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 1629633789

Kathryn Tyler, PA-C's National Provider Identifier is 1629633789, issued on May 4, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mission Viejo, CA. The record was last updated on Jan 13, 2026.