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

Mr. Ty Preston Affleck, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1306941083

Mr. Ty Preston Affleck, MD is a Family Practice in Santa Rosa, California. Graduated from Virginia Commonwealth University, School of Medicine in 1988, 38 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
38
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1255 N Dutton Ave
Santa Rosa, CA 95401-4663
Phone: (707) 546-9400
Fax: (707) 546-9464
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence G073843 (CA)

Record details

NPI number1306941083
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESMay 11, 2009

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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