Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wylie Douglass, NP

Individual provider Family Medicine Physician · NPI 1427807692

Wylie Douglass, NP is a Family Medicine Physician in Covina, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

500 W San Bernardino Rd
Covina, CA 91722-3797
Phone: (626) 960-2326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 95030099 (CA)

Record details

NPI number1427807692
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 18, 2024
Last updated in NPPESMay 18, 2024
Certification dateMay 18, 2024

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