MARY JANE DYLLA MD NPI 1649243775

NPI Information

  • NPI: 1649243775
  • Provider Name: MARY JANE DYLLA, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1120 POPE ST
    SAINT HELENA, CA
    ZIP 94574
  • Phone: (707) 963-7307

Map and Directions

Get Directions

NPI Details

Mary Jane Dylla, MD is a specialist in Saint Helena, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Mary Jane Dylla, MD NPI is 1649243775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1120 POPE ST
SAINT HELENA, CA
ZIP 94574-278
Phone: (707) 963-7307

The NPI 1649243775 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 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.

  • Injection, denosumab, 1 mg (HCPCS:J0897)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hepatitis b vaccine, adult dosage (3 dose schedule) (HCPCS:90746)
  • Administration of hepatitis b vaccine (HCPCS:G0010)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Removal of impacted ear wax (HCPCS:69210)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) (HCPCS:90715)
  • Administration of vaccine (HCPCS:90471)

The enumeration date for this NPI number is 2/9/2006 and was last updated on 7/9/2007.

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
1174400000XSpecialistG01743CALIFORNIAYes

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
100G617430MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE NUMBER
2F09468MEDICARE UPINCALIFORNIA

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.