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

Individual provider Family Medicine Physician · NPI 1083146468

Tyler Wellman, MD is a Family Practice in Capitola, California. Graduated from Florida State University College of Medicine in 2017, 9 years ago. Practices with Dignity Health Medical Foundation, a 1,204-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
Florida State University College of Medicine
Licensed in
CA
In the registry since
2017
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

1820 41st Ave Ste C
Capitola, CA 95010-2516
Phone: (831) 684-7611
Fax: (831) 477-2009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A1699735 (CA)

Record details

NPI number1083146468
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address1820 41st Ave Ste C, Capitola, CA 95010-2516

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolFLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Dignity Health Medical Foundation — 1204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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