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

Tyler Ray Parker

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1598623811

Tyler Ray Parker is a Student in an Organized Health Care Education/Training Program in Costa Mesa, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

940 S Coast Dr Ste 260
Costa Mesa, CA 92626-7719
Phone: (949) 524-4313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1522 Brookhollow Dr Ste 3&4, Santa Ana, CA 92705-5423 — (657) 254-0220

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1598623811
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 14, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address23592 Windsong Apt 20c, Aliso Viejo, CA 92656-1370

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