John Joseph Vandyke, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A20717 Issued in CA

Practice address

959 E Walnut St
Suite 120
Pasadena, CA 91106-1451

Phone

(626) 795-5118

Fax

(626) 795-2716

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Foothill Pulmonary & Critical Care Consultants Medical Group Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Pasadena, CA
  • NPI 1205862489

  Pulmonary Disease

  Medicare reassignment NPD
• Pasadena Hosptial Association, LTD.

  • General Acute Care Hospital
  • Pasadena, CA
  • NPI 1396900650

  Pulmonary Disease

  Medicare reassignment NPD
• The Huntington Medical Foundation

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1154467181
  Medicare reassignment NPD
• Huntington Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Pasadena, CA
  • NPI 1265465405
  NPD
• Pasadena Hospital Association, LTD.

  • Psychiatric Hospital Unit
  • Pasadena, CA
  • NPI 1437121142
  NPD

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1225005192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 E WALNUT ST",
            "address_2": "SUITE 120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061451",
            "telephone_number": "626-795-5118",
            "fax_number": "626-795-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 E WALNUT ST",
            "address_2": "SUITE 120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061451",
            "telephone_number": "626-795-5118",
            "fax_number": "626-795-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKE",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A20717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A207170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Em Marie Van-Cartier, MA
• Lilia Van
• Stephanie Rose Van, LCSW
• Kathleen Vanbibber, LCSW
• Kalli Vandenhouten
• Heather Vanegas
• Vanessa a. Isiaka, M.D., Inc.
• Joshua Vang
• John S Vangerov, M.F.T
• Gautam Vangipuram, M.D

• Pulmonary Disease Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.