DR. JOHN KEITH NYLUND (NPI# 1407029069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407029069 |
| Entity Type | Individual |
| Full Name | DR. JOHN KEITH NYLUND |
| Credential | MD |
| Practice Address |
14650 Aviation Blvd Suite 235 Hawthorne CA 90250-6656 |
| Mailing Address |
14650 Aviation Blvd Suite 235 Hawthorne CA 90250-6668 |
| Practice Telephone | 3106439333 |
| Practice Fax Number | 3106439337 |
| Mailing Telephone | 3106439333 |
| Mailing Fax Number | 3106439337 |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | CO34111 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE MEDICAL LISCECE | CO34111 | 01 |
| CA | PASSWORD FOR PALMETTO | WWH7CB | 01 |
| CA | PPTAN # | W9243 | 01 |
| Street Address |
14650 AVIATION BLVD SUITE 235 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-6656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811949902 | John K Nylund Md Inc | Dermatology | 14650 Aviation Blvd, Suite 235, Hawthorne, CA 90250-6656 | 2006-05-17 |
| 1306266838 | M.d.s.c., Inc. | Dentist | 14650 Aviation Blvd, Suite 185, Hawthorne, CA 90250-6668 | 2014-04-23 |
| 1033544259 | Brandt Clark | Physical Therapist | 14650 Aviation Blvd, #100, Hawthorne, CA 90250 | 2013-09-06 |
| 1427305754 | Andrea T Clow | Acupuncturist | 14650 Aviation Blvd, Suite 100, Hawthorne, CA 90250-6668 | 2012-08-06 |
| 1669706610 | Breastlink Medical Group Inc | Surgery | 14650 Aviation Blvd, Suite 200, Hawthorne, CA 90250-6668 | 2009-09-23 |
| 1205026838 | Liza Trinidad Mcgill | Physical Therapist | 14650 Aviation Blvd, Suite 100, Hawthorne, CA 90250-6668 | 2007-07-30 |
| 1598982142 | Arthur J Natvig | Dentist | 14650 Aviation Blvd, Suite 185, Hawthorne, CA 90250-6656 | 2007-04-18 |
| 1427199397 | Patrick K Turley | Dentist | 14650 Aviation Blvd, Suite 220, Hawthorne, CA 90250-6656 | 2007-02-12 |
| 1700948031 | Ida I Mat Aris | Acupuncturist | 14650 Aviation Blvd, Suite 225, Hawthorne, CA 90250-6656 | 2006-12-14 |
| 1982705133 | Ana Rosa Ortiz | Dentist | 14650 Aviation Blvd, Ste# 220, Hawthorne, CA 90250-6656 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811949902 | John K Nylund Md Inc | Dermatology | 14650 Aviation Blvd, Suite 235, Hawthorne, CA 90250-6656 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JOHN KEITH NYLUND.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.