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

Dr. Tyler Ray Vestal, MD

Individual provider Psychiatry Physician · NPI 1851747687

Dr. Tyler Ray Vestal, MD is a Psychiatry in Glendale, Arizona. Graduated from Columbia University College of Physicians and Surgeons in 2016, 10 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and California.

Years since qualifying
10
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
AZ, CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7701 W Aspera Blvd
Glendale, AZ 85308-7947
Phone: (623) 248-2110
Fax: (623) 748-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 60673 (AZ)
Psychiatry Physician Taxonomy 2084P0800X · Licence A151839 (CA)

Record details

NPI number1851747687
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 11, 2016
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2016 (10 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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