DR. JOHN KEITH NYLUND MD
NPI 1407029069
Dermatology in Hawthorne, CA
About Dr. John Keith Nylund Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN KEITH NYLUND MD (NPI 1407029069) is an individual dermatology provider in Hawthorne, California, licensed in California (CO34111) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John Keith Nylund Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Nylund reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Long Beach, CA 90813
- Reassigned Medicare billing, California enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90250 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAWTHORNE, CA 90250
HAWTHORNE, CA 90250
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Nylund's NPI number?
The NPI number for John Nylund is 1407029069. It was assigned to this individual provider in the NPPES registry on April 3, 2008.
Where is John Nylund located?
John Nylund practices at 14650 Aviation Blvd Suite 235, Hawthorne, CA 90250. The listed phone number is (310) 643-9333.
What is John Nylund's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is John Nylund enrolled in Medicare?
Yes. John Nylund is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Nylund's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Nylund reassigns Medicare benefits to Wu Enterprise Inc. (Long Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Nylund's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Nylund was last updated on September 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. John Keith Nylund, MD · NPI 1407029069
Dermatology physician in Hawthorne, California. Individual provider, active in the CMS NPPES registry since April 3, 2008.
## Identity
- **NPI:** 1407029069 (Entity type: Individual)
- **Enumerated:** April 3, 2008
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** CO34111 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14650 AVIATION BLVD, SUITE 235, Hawthorne, CA 90250-6656
- **Phone:** (310) 643-9333 · **Fax:** (310) 643-9337
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wu Enterprise Inc. (NPI 1881352581, Long Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2008
- **Other identifiers:** Other CO34111 (CA); Other WWH7CB (CA); Other W9243 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1407029069) · Data from the CMS NPPES public registry.