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

Tyler Etherton

Individual provider Community Health Worker · NPI 1306620125

Tyler Etherton is a Community Health Worker in Riverside, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

3125 Myers St
Riverside, CA 92503-5527
Phone: (951) 358-6462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1306620125
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 22, 2023
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address3125 Myers St, Riverside, CA 92503-5527

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