Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Tyler Grant Waldron, PA-C

Individual provider Physician Assistant · NPI 1407205875

Mr. Tyler Grant Waldron, PA-C is a Physician Assistant in Mission Viejo, California. Qualified in 2016, 10 years ago. Practices with Community Orthopedic Medical Group, a 16-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

26401 Crown Valley Pkwy Ste 101
Mission Viejo, CA 92691-6302
Phone: (949) 348-4000
Fax: (949) 348-7466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 53447 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 53447 (CA)

Record details

NPI number1407205875
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 7, 2016
Last updated in NPPESJune 7, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Community Orthopedic Medical Group — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mission Viejo