Tyler Tifaga Mataalii, RN
Registered Nurse, Emergency in West Covina, CA. Individual provider (NPI-1).
NPI number1295578433
StatusActive
Last updated in NPPESJun 17, 2024
Details
- NPI
- 1295578433
- Entity type
- Individual (NPI-1)
- Name
- Tyler Tifaga Mataalii
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2024
- Certification date
- Jun 16, 2024
- Last updated
- Jun 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WE0003X | Registered Nurse, Emergency | 95342377 | CA | Yes |
Practice location
1115 S Sunset AveWest Covina, CA 91790-3940
Phone 626-814-2534
Mailing address
2771 N Garey Ave Unit 362Pomona, CA 91767-1899
Phone 714-430-0603
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Emergency Registered Nurse providers in West Covina · All 3,175 providers in West Covina
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