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

Tyler Eugene Callese, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073017836

Tyler Eugene Callese, MD is a Diagnostic Radiology in Los Angeles, California. Graduated from Wake Forest University School of Medicine in 2018, 8 years ago. Practices with Gaston Radiology PA, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
Wake Forest University School of Medicine
Licensed in
CA
In the registry since
2018
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Los Angeles, CA

Additional practice locations (1)

  • 335 North Labrea Avenue, Los Angeles, CA 90036 — (323) 634-3850

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence A164207 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1073017836
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2018
Last updated in NPPESJuly 17, 2023
Certification dateJuly 11, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Gaston Radiology Pa — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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