Gregory S Van Dyke, MD, PHD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A81049 Issued in CA

Practice address

12409 Ventura CT
Ste C
Studio City, CA 91604-2471

Phone

(818) 900-6007

Fax

(818) 900-6607

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

DermatologyAlso: Pathology

Education

University of Texas Southwestern Medical School at Dallas, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Van Dyke Yun DermatologyGroup PAC ID 3779824271, 3 clinicians

Van Dyke Yun Medical Group Pacific Dermatopathology and Jasmine Yun MDGroup PAC ID 3971796079, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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.

• Van Dyke Yun Dermatology

  • Dermatology Physician
  • Studio City, CA
  • NPI 1326503665
  Medicare reassignment Care Compare group NPD
• Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun MD a

  • Dermatopathology (Pathology) Physician
  • Studio City, CA
  • NPI 1013220722

  Dermatology

  Medicare reassignment Care Compare group NPD
• Fountain Resources, Inc.

  • Nutritionist
  • Beverly Hills, CA
  • NPI 1104151273
  NPD
• R. Sonia Batra, M.D., Inc.

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1558502690
  NPD (past)
• Regents Univ of Calif Los Angeles

  • Psychiatric Hospital
  • Los Angeles, CA
  • NPI 1952308363
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City of Hope National Medical Center

  • General Acute Care Hospital
  • Duarte, CA
  • NPI 1750358297
  Care Compare affiliation

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1841328614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12409 VENTURA CT",
            "address_2": "STE C",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042471",
            "telephone_number": "818-900-6007",
            "fax_number": "818-900-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 VENTURA CT",
            "address_2": "STE C",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042471",
            "telephone_number": "818-900-6007",
            "fax_number": "818-900-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DYKE",
        "first_name": "GREGORY",
        "middle_name": "S",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A81049",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A81049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A810490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Ann Turner
• Martha Uhl, LMFT
• United Home Health Agency, Inc.
• Van Dyke Yun Dermatology
• Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun MD a
• Catharina Maria Van Houten-Williams, D.C.
• Vanguard Hospice, Inc.
• Greg Vanvakaris, D.C.
• Christina Cara Vartan-Aghadjanian
• Pamela Vartanian, DPT

• Dermatology Physician in Studio City, CA
• Providers in Studio City, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.