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

Tyler Samone Nelson

Individual provider Rehabilitation Practitioner · NPI 1700479367

Tyler Samone Nelson is a Rehabilitation Practitioner in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

9500 Haven Ave
Rancho Cucamonga, CA 91730-5807
Phone: (909) 980-6700
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence ASW100564 (CA)
Rehabilitation Practitioner Taxonomy 225400000X
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW100564 (CA)

Record details

NPI number1700479367
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2021
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024

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