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

Tyler Roubidoux

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609133800

Tyler Roubidoux is an Anesthesiology in Spokane, Washington. Graduated from Loma Linda University School of Medicine in 2008, 18 years ago. Practices with Bayside Anesthesia Medical Group, a 48-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2012
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

101 W 8th Ave
Spokane, WA 99204-2307
Phone: (509) 474-3020
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A127481 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609133800
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 12, 2012
Last updated in NPPESAugust 8, 2016
Mailing addressPo Box 60790, Pasadena, CA 91116-6790

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Bayside Anesthesia Medical Group — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Spokane