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

Tyler Shannon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700133030

Tyler Shannon is a Student in an Organized Health Care Education/Training Program in Oakland, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

1440 Broadway Ste 610
Oakland, CA 94612-2026
Phone: (510) 628-9070
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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 number1700133030
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 6, 2012
Last updated in NPPESAugust 6, 2012

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