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

Tyson A. Hadduck, MD

Individual provider Diagnostic Radiology Physician · NPI 1336409382

Tyson A. Hadduck, MD is an Interventional Radiology in Los Angeles, California. Graduated from Baylor College of Medicine in 2012, 14 years ago. Practices with Lutheran Hospital Association of the San Luis Valley, a 150-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Trained at
Baylor College of Medicine
Licensed in
CA
In the registry since
2012
Specialties on file
2
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

10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone: (310) 301-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence A127728 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A127728 (CA)

Record details

NPI number1336409382
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2012
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Lutheran Hospital Association Of The San Luis Valley — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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