JACQUELINE G. DY


Address: 2071 Herndon Ave, Clovis, CA 93611-6101
Phone: 5593245100

JACQUELINE G. DY (NPI# 1790859304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790859304
Entity Type Individual
Full Name JACQUELINE G. DY
Credential MD
Practice Address 2071 Herndon Ave
Clovis
CA 93611-6101
Mailing Address 1800 Harrison St Fl 7
Oakland
CA 94612-3429
Practice Telephone 5593245100
Mailing Telephone 5106256262
Enumeration Date 2006-11-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
A52435 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A524350 05

Other Providers JACQUELINE DY

NPI Name Taxonomy Address Enumeration
1497112221 Jacqueline Dy Occupational Therapist 323 W Pebble Creek Ln, Orange, CA 92865-1096 2016-01-25
1366444234 Jacqueline Irene De Leon Dy Nurse Practitioner 8449 168th St, Unit 6a, Jamaica, NY 11432-2048 2005-08-11

Office Location

Street Address 2071 HERNDON AVE
City CLOVIS
State CA
Zip Code 93611-6101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194701250 Vinaya Murthy Genetic Counselor, MS 2071 Herndon Ave, Clovis, CA 93611-6101 2005-12-21
1881125193 Tram Nguyen Pharmacist 2071 Herndon Ave, Clovis, CA 93611-6101 2017-03-27
1730610643 Woon Inouye Pharmacist 2071 Herndon Ave, Clovis, CA 93611-6101 2017-03-22
1457882409 Debbie Flint Pharmacist 2071 Herndon Ave, Clovis, CA 93611-6101 2017-03-22
1275064339 Diana Blumberg Pharmacist 2071 Herndon Ave, Clovis, CA 93611-6101 2017-03-21
1538617170 Rachel Graziani Genetic Counselor, MS 2071 Herndon Ave, Clovis, CA 93611-6101 2016-09-12
1134421704 Kelly Ayala Obstetrics & Gynecology 2071 Herndon Ave, Clovis, CA 93611-6101 2010-12-02
1407035108 Jennifer Irene Bague Social Worker 2071 Herndon Ave, Clovis, CA 93611-6101 2007-10-30
1194920413 James Dale Massa Jr. Genetic Counselor, MS 2071 Herndon Ave, Attn Genetics Dpt, Clovis, CA 93611-6101 2007-06-18
1710014378 Judith Lynn Meadows Dietitian, Registered 2071 Herndon Ave, Clovis, CA 93611 2007-02-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033773122 Mao Thao Pharmacist 2133 Shaw Avenue, Clovis, CA 93611 2019-04-24
1326506098 Lauren Moriah Horsley Speech-Language Pathologist 650 W. Alluvial Ave., Clovis, CA 93611 2019-03-12
1780171223 Alamos Care Skilled Nursing Facility 2193 Alamos Ave, Clovis, CA 93611 2018-04-19
1346612215 Aimee Rasch Occupational Therapy Assistant 650 West Alluvial Avenue, Clovis, CA 93611 2015-10-30
1356778302 Jonathan Crosby Physician Assistant 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 2013-10-07
1093142697 Stacey Melissa Montes Nurse Practitioner 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 2013-09-27
1538594163 Carly Bren Lepp Physician Assistant 2006 Shaw Avenue, Clovis, CA 93611 2013-09-13
1811246150 Vishal Arya Pharmacist 2518 Austin Ave, Clovis, CA 93611 2012-08-31
1669757209 Kiran V Atwal Pharmacist 1815 Herndon Ave--walgreens, Clovis, CA 93611 2011-10-14
1952615957 Weight Away Nutritionist 1895 Herndon Ave, Suite 105, Clovis, CA 93611 2010-08-02
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710590450 Napa Valley Internal Medicine Internal Medicine 999 Adams St Ste 201, Saint Helena, CA 94574-1149 2020-08-24
1821612565 Almoutaz Bellah Shakally Md, Inc Internal Medicine 7462 Schuyler Ct, Rancho Cucamonga, CA 91730-8305 2020-05-28
1366061863 Karen L. Herbst, Md, PC Internal Medicine 12381 Wilshire Blvd Ste 202, Los Angeles, CA 90025-1063 2020-04-14
1619502572 Pacific Endocrinology Internal Medicine 1855 1st Ave Ste 200b, San Diego, CA 92101-2685 2020-03-11
1659910743 Robert Alan Rubin Internal Medicine 403 Paseo Miramar, Redondo Beach, CA 90277-6288 2020-01-06
1336790914 Northeast Community Clinic Internal Medicine 4455 W 117th St Ste 502, Hawthorne, CA 90250-2261 2019-09-24
1124585393 Steady Health Inc Internal Medicine 100 Bush St Ste 1600, San Francisco, CA 94104-3918 2019-02-25
1780140673 Jennifer Anne Nuovo Internal Medicine 8880 Cal Center Dr Ste 300, Sacramento, CA 95826-3228 2019-02-15
1407324379 Chrysalis Health of California Internal Medicine 4592 Camino Del Mirasol, Santa Barbara, CA 93110-1003 2018-11-08
1881172864 Todd Lorenz Internal Medicine 5 Robert Rd, Orinda, CA 94563-3215 2018-08-01
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Competitor

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City CLOVIS
Zip Code 93611

Improve Information

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Dataset Information

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.

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