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

Tyler Marie Davidson

Individual provider Family Medicine Physician · NPI 1154908655

Tyler Marie Davidson is a Family Practice in Palo Alto, California. Qualified in 2021, 5 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

795 El Camino Real
Palo Alto, CA 94301-2302
Phone: (650) 853-2984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 710 Center St, Columbus, GA 31901-1527 — (706) 571-1000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A23333 (CA)

Record details

NPI number1154908655
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Palo Alto