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

Tyler Ellis

Individual provider Physician Assistant · NPI 1134834310

Tyler Ellis is a Physician Assistant in Beverly Hills, California. Qualified in 2023, 3 years ago. Practices with Carbon Health Medical Group of California PC, a 332-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8767 Wilshire Blvd Fl 2
Beverly Hills, CA 90211-2714
Phone: (310) 423-3333
Fax: (310) 423-1300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA64180 (CA)

Record details

NPI number1134834310
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 20, 2023
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing address4140 W 190th St, Torrance, CA 90504-5513

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Carbon Health Medical Group Of California Pc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Beverly Hills