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

Tyler Murdock Macrae, DPM

Individual provider Podiatrist · NPI 1033746649

Tyler Murdock Macrae, DPM is a Podiatry in Fullerton, California. Graduated from Western Un of Hlth Sciences, Col of Podiatric Med in 2020, 6 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
6
Trained at
Western Un of Hlth Sciences, Col of Podiatric Med
Licensed in
PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2151 N Harbor Blvd Ste 35000
Fullerton, CA 92835-3820
Phone: (714) 626-8630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence SC007354 (PA)
Podiatrist Taxonomy 213E00000X · Licence SC007354 (PA)

Record details

NPI number1033746649
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address2151 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3820

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolWESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated 2020 (6 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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