NPIMap

Individual provider Active NPI

Yvette Kimberly Wild, M.D., M.P.H.

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1013190693
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A102785 Issued in CA
Practice address
550 16TH St
5TH Floor; Box 0136
San Francisco, CA 94158-2549
Phone
(415) 476-5892
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A102785 CA Primary

Addresses

Primary practice location

550 16TH St
5TH Floor; Box 0136
San Francisco, CA 94158-2549

Mailing address

550 16TH St
5TH Floor; Box 0136
San Francisco, CA 94158-2549
Phone (415) 476-5892

Other names 1

  • Yvette Wild Koenig Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130720000138 CA Practitioner - Pediatric Medicine 5991946717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Connecticut School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
102785CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Pediatrics Associates Pediatrics CurrentSince Mar 31, 2015 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Mar 31, 2015 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Jun 15, 2013 Accepting new patients
University of California San Francisco CurrentSince Mar 31, 2015 Accepting new patients
UCSF Medical Group Business Services Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

550 16th St
Fl 5
San Francisco, CA 94158
Phone (415) 476-5153

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1825 4th St
San Francisco, CA 94143
Phone (415) 353-3000

Interoperability endpoints

  • Direct secure messaging: ywild11351@direct-ucsfmedicalcenter.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1013190693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 16TH ST",
            "address_2": "5TH FLOOR; BOX 0136",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582549",
            "telephone_number": "415-476-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 16TH ST",
            "address_2": "5TH FLOOR; BOX 0136",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582549",
            "telephone_number": "415-476-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILD",
        "first_name": "YVETTE",
        "middle_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "M.D.,  M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A102785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVETTE",
            "last_name": "KOENIG",
            "middle_name": "WILD",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.