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

Tyler Jacob Hendricks, MD

Individual provider Family Medicine Physician · NPI 1295114171

Tyler Jacob Hendricks, MD is a Family Medicine Physician in San Diego, California. Licensed in Colorado, Florida, Hawaii and Louisiana and 6 more. Registered with an NPI since 2015.

Licensed in
CO, FL, HI, LA, MD, ME
In the registry since
2015
Specialties on file
10
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715
Phone: (239) 343-2371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME133173 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence D86787 (MD)
Family Medicine Physician Taxonomy 207Q00000X · Licence 311985 (LA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25MA10673900 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD466543 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD-19793 (HI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11567414-1205 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD23563 (ME)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35178 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence DR.0062561 (CO)

Record details

NPI number1295114171
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2015
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022

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