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

Tyler Mitchell

Individual provider Emergency Medicine Physician · NPI 1194266189

Tyler Mitchell is an Emergency Medicine in Colton, California. Qualified in 2017, 9 years ago. Practices with Cep America - California, a 1,267-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1801
Phone: (909) 580-1000
Show map & directions

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

Additional practice locations (1)

  • 400 N McDowell Blvd, Petaluma, CA 94954-2339 — (707) 778-1111

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 20A16678 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194266189
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 10, 2017
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021
Mailing address13642 S Killeen Ct, Plainfield, IL 60544-7041

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Colton