Dylan Hide

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

3900 Lomaland Dr
San Diego, CA 92106-2810

Phone

(571) 492-1795

NPI assigned

Mar 17, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Point Loma Nazarene University

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1851934798
  NPD

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1679158935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 WORDEN ST APT 17",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105863",
            "telephone_number": "157-149-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LOMALAND DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062810",
            "telephone_number": "571-492-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDE",
        "first_name": "DYLAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dhide2323@pointloma.edu",
            "affiliation": "Y",
            "affiliationName": "Point Loma Nazarene University",
            "address_1": "3900 Lomaland Dr",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921062810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna Lorraine Hidalgo, LVN
• Ashleigh Hidalgo, LCSW 129985
• Joe Hidalgo
• Odon Joseph Hidalgo, LCSW,LPC,LMFT
• Alika Hidayat
• Jason Hiebert
• Hiedi Chan Marriage and Family Therapy Incorporated
• Margaret Mary Hiel, LVN
• Hien Bui, DMD a Professional Dental Corporation (Ucare Dental)
• Hien Bui, DMD a Professional Dental Corporation

• Athletic Trainer in San Diego, CA
• Providers in San Diego, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.