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

Tyler Patrick Ewing, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407198872

Tyler Patrick Ewing, MD is an Anesthesiology in Stanford, California. Qualified in 2015, 11 years ago. Practices with Matrix Anesthesia, Ps, a 87-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2013
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

300 Pasteur Drive Stanford Medicine Residency Ofc Lane 154
Stanford, CA 94305-5109
Phone: (650) 498-4556
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1407198872
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2013
Last updated in NPPESMarch 31, 2015
Mailing address5559 Colodny Dr, Agoura Hills, CA 91301-2215

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Matrix Anesthesia, Ps — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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