Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356093322 Individual Practitioner Male Practitioner

Tyler Matthew Clark , PA-C

Physician Assistant • Van Nuys, CA

Professional Overview & Biography Verified Profile Summary

Tyler Clark, PA-C is a registered healthcare professional specializing in Physician Assistant in Van Nuys, CA. Practice services are available at 6815 NOBLE AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6815 Noble Ave

Van Nuys, CA 914053796

Telephone 8189016600
Associated Practice Facility / Clinic
🏢 Irv Klein Md Inc Facility NPI 1194786020

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Van Nuys, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
59 Specialists

Practicing in Van Nuys, CA (14617 Statewide)

Telehealth Adoption Rate
10.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
21 19 $858.00 $119.07

Medical Specialties & State Licenses

CMS Verified: 2026-08-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA60472

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License CA 60472

Definition to come...

Secondary Practice Locations

15135 Germain St

Mission Hills, CA 913452013

Phone: 4126000030

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Steve Kwak , MD

Orthopaedic Surgery

NPI 1013131705

Doctor of Medicine (M.D.)

Dr. Torgom Abraamyan , MD

Orthopaedic Surgery

NPI 1013370410

Doctor of Medicine (M.D.)

Dr. Andrew Blecher , MD

Family Medicine - Sports Medicine

NPI 1013953520

Doctor of Medicine (M.D.)

Dr. Cory Kwong , MD

Student in an Organized Health Care Education/Training Program

NPI 1023671179

Doctor of Medicine (M.D.)

Zack Gonzalez

Specialist/Technologist - Athletic Trainer

NPI 1033723945
NPI 1043472772

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2026

Physician Assistant (License #PA60472 in CA)

📍
Updated Practice Location May 11, 2022

Registered at 6815 NOBLE AVE, VAN NUYS, CA 914053796 (Tel: 8189016600)

📍
Updated Business Mailing Address May 11, 2022

Registered at 5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 900455631

NPI Profile Active January 21, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2022

Registered at 15135 GERMAIN ST, MISSION HILLS, CA 913452013 (Tel: 4126000030)

📍
Updated Business Mailing Address January 21, 2022

Registered at 6815 NOBLE AVE, VAN NUYS, CA 914053796 (Tel: 8189016600)

👤
Provider Name / Credentials Updated January 21, 2022

Recorded as TYLER CLARK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2022

Physician Assistant (License #60472 in CA)

🟢
Initial NPI Registration & Enumeration January 21, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Tyler Clark. Be the first to share your experience!

Sign in to leave a review for Tyler Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1356093322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2022
Last Update: August 03, 2026
Sole Proprietor: Yes

Mailing Address

5767 W Century Blvd Ste 400

Los Angeles, CA 900455631

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.