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

Mr. Tyler Matthew Clark, PA-C

Individual provider Physician Assistant · NPI 1356093322

Mr. Tyler Matthew Clark, PA-C is a Physician Assistant in Van Nuys, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

6815 Noble Ave
Van Nuys, CA 91405-3796
Phone: (818) 901-6600
Show map & directions

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

Additional practice locations (1)

  • 15135 Germain St, Mission Hills, CA 91345-2013 — (412) 600-0030

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60472 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 60472 (CA)

Record details

NPI number1356093322
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 21, 2022
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

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