KEVIN BERTRAND TYSON (MD) – Internal Medicine Physician, NPI 1194723874

Internal Medicine Physician

KEVIN BERTRAND TYSON (MD) is a healthcare provider. based in Pasadena, California. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. A69141 (CA). The NPI Number for KEVIN BERTRAND TYSON (MD) is 1194723874

Main info

Male

28 Years Of Experience

Accepts Medicare Assignment

Name

KEVIN BERTRAND TYSON (MD)

NPI

1194723874

Phone

(626) 798-4952

Address

2661 E WASHINGTON BLVD

Enumeration Date

7 July 2005

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

OHIO STATE UNIVERSITY COLLEGE OF MEDICINE

Secondary Phone

3235840222

Graduation Year

1998 (28 years ago)

PAC ID

2163470386

Group Practice PAC ID

1254389471

Professional Enrollment ID

I20050210001017

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KEVIN BERTRAND TYSON (MD)

2661, East Washington Boulevard, Pasadena, Los Angeles County, California, 91107, United States
PASADENA, CA 911071412
Phone: (626) 798-4952
Fax: (626) 798-5260
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1254389471View full group profile

Name	Specialty	State
MICHELLE ASANTEWA TYSON (MD)	-	CA

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Frequently asked questions

Does KEVIN BERTRAND TYSON (MD) share an NPI with anyone else?

NPI numbers are unique to each provider or organization — KEVIN BERTRAND TYSON (MD) uses 1194723874.

Does the file indicate KEVIN BERTRAND TYSON (MD) is practicing under active NPI?

Directory data currently reports KEVIN BERTRAND TYSON (MD) as active.

What healthcare role does KEVIN BERTRAND TYSON (MD) hold?

Scheduling teams often label KEVIN BERTRAND TYSON (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

Where is KEVIN BERTRAND TYSON (MD) based?

KEVIN BERTRAND TYSON (MD) is tied to Pasadena, California in the data we show; additional addresses may exist on the full record.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.