GREGORY S VAN DYKE (NPI# 1841328614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841328614 |
| Entity Type | Individual |
| Full Name | GREGORY S VAN DYKE |
| Credential | MD, PHD |
| Practice Address |
12409 Ventura Ct Ste C Studio City CA 91604-2471 |
| Practice Telephone | 8189006007 |
| Practice Fax Number | 8189006607 |
| Mailing Telephone | 8189006007 |
| Mailing Fax Number | 8189006607 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A81049 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
A81049 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A810490 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871157701 | Gregory Thomas Van Dyke | Physician Assistant | 115 Mall Dr, Hanford, CA 93230-5786 | 2019-04-25 |
| 1346286622 | Gregory John Van Dyke | Internal Medicine | 26732 Crown Valley Pkwy, Suite42, Mission Viejo, CA 92691-6306 | 2006-06-22 |
| Street Address |
12409 VENTURA CT STE C |
| City | STUDIO CITY |
| State | CA |
| Zip Code | 91604-2471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971745 | Natalie M Maddison | Developmental Therapist | 4397 Tujunga Ave, Studio City, CA 91604 | 2019-09-16 |
| 1134774441 | Elizabeth Anne Wells | Social Worker | 4512 St. Clair Ave., Studio City, CA 91604 | 2019-08-04 |
| 1740751262 | Luminita Elena Docan | Counselor | 12456 Laurel Terrace Dr, #1, Studio City, CA 91604 | 2018-12-10 |
| 1568981041 | Lost Sheep, LLC | Substance Abuse Rehabilitation Facility | 4198 Sunswept Drive, Los Angeles, CA 91604 | 2017-09-15 |
| 1376072652 | Ambursd Medical Transportation Inc. | Non-emergency Medical Transport (VAN) | 11012 Ventura Blvd Suite # H, Studio City, CA 91604 | 2017-06-08 |
| 1134502784 | Stephen Earl Genender | Plastic Surgery | 3293 Wrightwood Dr., Studio City, CA 91604 | 2015-07-01 |
| 1306277298 | Dr. Ike, Inc. | Pharmacy | 11738 Ventura Blvd., Studio City, CA 91604 | 2013-12-03 |
| 1770916769 | Jon-paul Gamboa | Behavioral Analyst | 121754 Ventura Blvd., Ste D, Studio City, CA 91604 | 2013-08-14 |
| 1518308568 | Alexis Anne Prescott | Counselor | 11712 Moorpark St Ste 211, Studio City, CA 91604 | 2013-07-07 |
| 1154764157 | Peter Joseph Vogelsang | Internal Medicine | 11623 Dona Alicia Place, Studio City, CA 91604 | 2013-04-10 |
| Find all providers in zip 91604 | ||||
| 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 |
|---|---|---|---|---|
| 1326503665 | Van Dyke Yun Dermatology | Dermatology | 12403 Ventura Ct Ste A, Studio City, CA 91604-2470 | 2019-01-31 |
| 1629195656 | Jasmine Yun | Dermatology | 12409 Ventura Ct Ste C, Studio City, CA 91604-2471 | 2007-03-23 |
| 1720083744 | Gennady Rubinstein | Dermatology | 3959 Laurel Canyon Blvd, Suite F, Studio City, CA 91604-4921 | 2005-06-16 |
| 1013220722 | Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun Md A | Dermatology | 12409 Ventura Ct Ste C, Studio City, CA 91604-2471 | 2010-07-22 |
| 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 | ||||
| City | STUDIO CITY |
| Zip Code | 91604 |
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| 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.