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

Mr. Tyler Elliot Johnson, IDC

Individual provider Independent Duty Corpsman · NPI 1679846281

Mr. Tyler Elliot Johnson, IDC is an Independent Duty Corpsman in Virginia Beach, Virginia. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

342 Dover Ct
Virginia Beach, VA 23454-4253
Phone: (415) 672-2782
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X · Licence B8829445 (CA)

Record details

NPI number1679846281
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedFebruary 13, 2012
Last updated in NPPESFebruary 13, 2012

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