Individual provider Active NPI

Bill Morley Jenkin Jr., DPM

  • Podiatrist
  • San Francisco, CA
National Provider Identifier
1023063138
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1370 Issued in CA
Practice address
2250 Hayes St
Suite 4a
San Francisco, CA 94117
Phone
(415) 759-2014
Fax
(415) 759-2015
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E1370 CA Primary

Addresses

Primary practice location

2250 Hayes St
Suite 4a
San Francisco, CA 94117

Mailing address

2250 Hayes St
Suite 4a
San Francisco, CA 94117
Phone (415) 759-2014

Other names 1

  • Dr. William Morley Jenkin Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1370CAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1023063138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HAYES ST",
            "address_2": "SUITE 4A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94117",
            "telephone_number": "415-759-2014",
            "fax_number": "415-759-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HAYES ST",
            "address_2": "SUITE 4A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94117",
            "telephone_number": "415-759-2014",
            "fax_number": "415-759-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKIN",
        "first_name": "BILL",
        "middle_name": "MORLEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "JENKIN",
            "middle_name": "MORLEY",
            "prefix": "DR.",
            "suffix": "JR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.