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

Tyler Scott Green, MD

Individual provider Orthopaedic Surgery Physician · NPI 1629412937

Tyler Scott Green, MD is an Orthopedic Surgery in San Diego, California. Graduated from Georgetown University School of Medicine in 2013, 13 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
13
Trained at
Georgetown University School of Medicine
Licensed in
CA
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

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (858) 249-6750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2141 N Harbor Blvd, Fullerton, CA 92835-3827 — (714) 626-8630
  • 4300 Rose Dr, Yorba Linda, CA 92886-2026 — (714) 528-4211

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A162586 (CA)

Record details

NPI number1629412937
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2013
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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