DR. JOHN R WILKINSON (NPI# 1114092723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114092723 |
| Entity Type | Individual |
| Full Name | DR. JOHN R WILKINSON |
| Credential | M.D. |
| Practice Address |
5555 Reservoir Dr Suite 207 San Diego CA 92120-5149 |
| Mailing Address |
5555 Reservoir Dr Suite 207 San Diego CA 92120-5134 |
| Practice Telephone | 6192551754 |
| Practice Fax Number | 6192864355 |
| Mailing Telephone | 6192551754 |
| Mailing Fax Number | 6192864355 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2011-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G50507 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAX ID | 330301294 | 01 |
| CA | D.E.A. | AW2191702 | 01 |
| CA | CA LIC | G50507 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568621803 | John Benjamin Wilkinson | Radiology | 1213 E Ocean Ave Ste 100, Lompoc, CA 93436-7043 | 2008-06-02 |
| 1578623294 | John Wilkinson | Dentist | 101 W Debbie Ln, Suite 106, Mansfield, TX 76063-8937 | 2006-12-11 |
| 1316022205 | John Walter Wilkinson | Emergency Medicine | 2047 Nuuanu Avenue, #1804, Honolulu, HI 96817 | 2006-10-26 |
| 1790348894 | John Wilkinson | Counselor | 493 Greathouse Dr, Milpitas, CA 95035-2816 | 2019-04-15 |
| 1508361189 | John Riley Wilkinson | Student in an Organized Health Care Education/Training Program | 900 S Limestone Ctw 304, Lexington, KY 40536-0293 | 2018-03-27 |
| 1265861389 | John Ross Wilkinson | Physical Therapist | 109 Bridge St Ste 300, Danville, VA 24541-1222 | 2013-11-08 |
| 1376886663 | John Thomas Wilkinson | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108 | 2013-04-04 |
| 1487876728 | John Taylor Wilkinson | Dentist | 704 Blossom Hill Rd, Suite 101, San Jose, CA 95123-5403 | 2007-05-03 |
| 1730234501 | John David Wilkinson | Internal Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2007-01-24 |
| 1841373719 | John J Wilkinson | Emergency Medicine | 222 S Herlong Ave, Rock Hill, SC 29732-1158 | 2006-10-23 |
| Street Address |
5555 RESERVOIR DR SUITE 207 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035496 | William Patrick Mann | Internal Medicine | 5555 Reservoir Dr, Ste 200, San Diego, CA 92120-5134 | 2005-07-04 |
| 1376140590 | Leon Samuel Mancilla | Peer Specialist | 5555 Reservoir Dr, San Diego, CA 92120-5134 | 2020-10-01 |
| 1417345091 | Btla Vi | Internal Medicine | 5555 Reservoir Dr, Suite #209, San Diego, CA 92120-5134 | 2015-01-05 |
| 1295050102 | Ashley Winter | Urology | 5555 Reservoir Dr, Suite 300, San Diego, CA 92120-5134 | 2010-04-02 |
| 1215251822 | Farhad Farjoudi | Internal Medicine | 5555 Reservoir Dr, Ste 312, San Diego, CA 92120-5173 | 2010-03-25 |
| 1932438637 | Charles R. Kossman, M.d., Inc. | Internal Medicine | 5555 Reservoir Dr, #306, San Diego, CA 92120-5134 | 2009-12-09 |
| 1699906032 | Azam Shamani | Family Medicine | 5555 Reservoir Dr, Ste 312, San Diego, CA 92120-5134 | 2009-08-03 |
| 1841447950 | Brooke Laura Ballard | Orthopaedic Surgery | 5555 Reservoir Dr, Ste 104, San Diego, CA 92120-5134 | 2008-08-20 |
| 1679747448 | Brett A Gidney Md A Medical Corporation | Internal Medicine | 5555 Reservoir Dr, Suite 112, San Diego, CA 92120-5134 | 2008-04-14 |
| 1982886107 | Richard A Katz M D Inc | Internal Medicine | 5555 Reservoir Dr, Suite 112, San Diego, CA 92120-5195 | 2007-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1023648201 | Pamela Renea Crane | Specialist | 3237 Meade Ave, San Diego, CA 92116-4519 | 2020-01-16 |
| 1184199853 | Oliver Rakeem Taylor | Specialist | 1265 Angelus Ave, San Diego, CA 92114-3108 | 2018-10-09 |
| 1376040923 | Mark Edmond Rierson | Specialist | 2333 1st Ave Ste 106, San Diego, CA 92101-1538 | 2018-04-10 |
| 1790232635 | Cristina Zheng-castruita | Specialist | 9308 Babauta Rd, Apt. 62, San Diego, CA 92129-4922 | 2016-09-08 |
| 1689027955 | Neelam Agashe | Specialist | 3445 Lebon Dr Apt 1215, San Diego, CA 92122-5267 | 2016-07-21 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1952765935 | Jacqueline Morgan | Specialist | 9625 Black Mountain Rd Ste 300, San Diego, CA 92126-4598 | 2016-04-06 |
| 1710341862 | Comprehensive Medical Reporting Services | Specialist | 9040 Friars Rd., Ste. 410, San Diego, CA 92108 | 2016-04-05 |
| 1790150555 | Mahmood Nazari | Specialist | 6209 Lake Apopka Pl, 6209 Lake Apopka Place, San Diego, CA 92119-3520 | 2015-12-04 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.