Dylan M Hendy (NPI# 1821338567, PAC ID# 3678871134) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1821338567 |
| PAC ID by PECOS | 3678871134 |
| Professional Enrollment ID | I20160415001945 |
| Full Name | Dylan M Hendy |
| Organization Legal Name | ST JUDE HOSPITAL YORBA LINDA |
| Address |
12550 Hesperia Rd Victorville CA 92395-5873 |
| Phone Number | 7602416666 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 963 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050758 | MONTCLAIR HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12550 Hesperia Rd, Victorville, CA 92395-5873 | 7602416666 | ST JUDE HOSPITAL YORBA LINDA |
| 12550 Hesperia Rd, Suite 100, Victorville, CA 92395-5873 | 7602416666 | ST JUDE HOSPITAL YORBA LINDA |
| Organization Legal Name | ST JUDE HOSPITAL YORBA LINDA |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meaghan M Berglund | Physician Assistant | St Jude Hospital Yorba Linda | 1950 Sunnycrest Dr, Fullerton, CA 92835-3644 |
| Shatha A Bakir | Family Practice | St Jude Hospital Yorba Linda | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Edward M Linzey | Obstetrics/gynecology | St Jude Hospital Yorba Linda | 2212 E 4th St, Santa Ana, CA 92705-3811 |
| David S Kim | Family Practice | St Jude Hospital Yorba Linda | 100 E Valencia Mesa Dr, Suite 311, Fullerton, CA 92835-3800 |
| Ronald James Cornelsen | Pediatric Medicine | St Jude Hospital Yorba Linda | 19582 Beach Blvd, Huntington Beach, CA 92648-2996 |
| John Meehan Iii | General Practice | St Jude Hospital Yorba Linda | 26732 Crown Valley Pkwy, Mission Viejo, CA 92691-6337 |
| Tracey Eaton | Nurse Practitioner | St Jude Hospital Yorba Linda | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Melissa Strange | Pediatric Medicine | St Jude Hospital Yorba Linda | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| David L Smith | Pediatric Medicine | St Jude Hospital Yorba Linda | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Angela Calton | Family Practice | St Jude Hospital Yorba Linda | 26732 Crown Valley Pkwy, Mission Viejo, CA 92691-6337 |
| Street Address |
12550 HESPERIA RD |
| City | VICTORVILLE |
| State | CA |
| Zip | 92395-5873 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa A Podgorski | Physician Assistant | St Joseph Heritage Healthcare | 12550 Hesperia Rd, Suite 100, Victorville, CA 92395-5873 |
| Katherine N Alconcel | Internal Medicine | St Joseph Heritage Healthcare | 12550 Hesperia Rd, Suite 100, Victorville, CA 92395-5873 |
| Paul Jie Lee | Family Medicine | St Joseph Heritage Healthcare | 12550 Hesperia Rd, Suite 100, Victorville, CA 92395-5873 |
| Vincent A Covelli | Internal Medicine | St Joseph Heritage Healthcare | 12550 Hesperia Rd, Suite 100, Victorville, CA 92395-5873 |
| Teresa C Langslet | Physician Assistant | Keith Mark Gross Md Inc | 12550 Hesperia Rd, Suite 218, Victorville, CA 92395-5873 |
| Madeline Ong Veloso | Nurse Practitioner | St Joseph Heritage Healthcare | 12550 Hesperia Rd, Suite 100, Victorville, CA 92395-5873 |
| Anjit Khurana | Family Medicine | St Joseph Heritage Healthcare | 12550 Hesperia Rd, Suite 100, Victorville, CA 92395-5873 |
| Malaika M Clinkscales-gabasan | Nurse Practitioner | St Joseph Heritage Healthcare | 12550 Hesperia Rd, Suite 100, Victorville, CA 92395-5873 |
| Zoheir R El-hajjaoui | Internal Medicine | St Joseph Heritage Healthcare | 12550 Hesperia Rd, Suite 100, Victorville, CA 92395-5873 |
| Bashar M Shahatit | Family Medicine | St Joseph Heritage Healthcare | 12550 Hesperia Rd, Suite 100, Victorville, CA 92395-5873 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nogba Pawoo | Pathology | High Desert Pathology Medical Group | 15248 11th St E, Department of Pathology, Victorville, CA 92395-3704 |
| Brian M Coombe | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Dee M Larcheveque | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Orlando Ricci | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Richard M Obler | Family Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Chang-ho L Chon | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Lisa Rogers | Nurse Practitioner | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Monica D Serna | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Michael R Manolescu | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Jie Ren | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Find all physicians in zip 92395 | |||
| City | VICTORVILLE |
| Zip Code | 92395 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | VICTORVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Dylan M Hendy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.