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

Tylisa Cagle

Individual provider Community Health Worker · NPI 1790504009

Tylisa Cagle is a Community Health Worker in Victorville, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

15095 Amargosa Rd Ste 201
Victorville, CA 92394-1875
Phone: (760) 245-4695
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1790504009
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 4, 2024
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024

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