Gary Denis Dylewski, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20A6529 Issued in CA

Practice address

234 East 17TH St
Ste 201
Costa Mesa, CA 92627-3855

Phone

(949) 722-1790

Fax

(949) 722-1717

NPI assigned

Aug 29, 2007

Last updated

Aug 29, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1831383207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 EAST 17TH ST",
            "address_2": "STE 201",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273855",
            "telephone_number": "949-722-1790",
            "fax_number": "949-722-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 EAST 17TH ST",
            "address_2": "STE 201",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273855",
            "telephone_number": "949-722-1790",
            "fax_number": "949-722-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYLEWSKI",
        "first_name": "GARY",
        "middle_name": "DENIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A6529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dva Healthcare Renal Care Inc (Costa Mesa Dialysis)
• Daniel Carl Dwyer, M.D.
• Timothy Dwyer
• Phillip William Dyck Jr.
• Lara Dyer
• William E. Dyment, PH.D.
• Jeffrey G. Dyo, M.D.
• E-Legacy Apc
• Tommy Petch Eagatatt
• Aleise Nichole Earl

• Psychiatry Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.