WYLIE DOUGLASS NP – NPI #1427807692
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

WYLIE DOUGLASS is a physician located in COVINA, CA. NPPES has assigned the NPI number 1427807692 to WYLIE DOUGLASS on May 18, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WYLIE DOUGLASS below.

NPI Profile for
WYLIE DOUGLASS

NPI Number
1427807692
Enumeration Date

(about 2 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WYLIE DOUGLASS
Credentials
NP
Primary location
500 W SAN BERNARDINO RD
COVINA, CA 91722-3797
Phone: (626) 960-2326 Fax:
Mailing address
2320 FAIRFIELD WAY
UPLAND, CA 91784-8609
Phone: (909) 731-4413 Fax:
Sole Proprietor
No
Updated
Certification Date
May 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
CA 95030099

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.