Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Willard Tyner

Individual provider Peer Specialist · NPI 1881112076

Douglas Willard Tyner is a Peer Specialist in San Diego, California. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

1465 30th St
San Diego, CA 92154-3497
Phone: (619) 428-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1881112076
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 7, 2017
Last updated in NPPESJanuary 30, 2019

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