Grietje Van Dyk, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G61231 Issued in CA

Practice address

3851 Katella Ave Ste 150
Los Alamitos, CA 90720-3353

Phone

(562) 314-1400

Fax

(562) 431-0564

NPI assigned

Oct 14, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pioneer Medical Group Inc.

  • Multi-Specialty Clinic/Center
  • Bellflower, CA
  • NPI 1548303589
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1003126830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 150",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203353",
            "telephone_number": "562-314-1400",
            "fax_number": "562-431-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 150",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203353",
            "telephone_number": "562-314-1400",
            "fax_number": "562-431-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DYK",
        "first_name": "GRIETJE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G61231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VA Long Beach Healthcare System
• Omid Vahdat, M.D.
• Diana Rosamaria Chavez Valencia, MSW, LCSW
• Heather Valentino, LCSW
• Monique Adrianne Valle, AMFT
• Robert L Vande Steeg, PHD
• Jacquelyn Lee Vander Wall, M.D.
• Vanderburg Psychological, Inc.
• Kevin Vanlant, PH.D.
• Cindy Vann, LCSW

• Orthopaedic Surgery Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.