DR. JOHN KEITH NYLUND MD NPI 1407029069

NPI Information

  • NPI: 1407029069
  • Provider Name: DR. JOHN KEITH NYLUND, MD
  • Classification: Dermatology - 207N00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D0930212
  • Address: 14650 AVIATION BLVD
    SUITE 235
    HAWTHORNE, CA
    ZIP 90250
  • Phone: (310) 643-9333

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NPI Details

DR. John Keith Nylund, MD is a dermatology in Hawthorne, CA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DR. John Keith Nylund, MD NPI is 1407029069. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14650 AVIATION BLVD
SUITE 235
HAWTHORNE, CA
ZIP 90250-656
Phone: (310) 643-9333
Fax: (310) 643-9337

The NPI 1407029069 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0930212 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm (HCPCS:17261)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Punch biopsy, each additional skin growth (HCPCS:11105)
  • Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11301)
  • Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS:17271)
  • Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/3/2008 and was last updated on 9/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyCO34111CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CO34111OTHERCALIFORNIASTATE MEDICAL LISCECE
2WWH7CBOTHERCALIFORNIAPASSWORD FOR PALMETTO
3W9243OTHERCALIFORNIAPPTAN #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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