Active NPI
Daryl James Wilkins, D.O.
- Internal Medicine Physician
- Linden, CA
National Provider Identifier
1043429186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A 6047
- Practice address
- 4950 Bonham Dr
Linden, CA 95236-9491 - Phone
- (209) 887-3891
- Fax
- (209) 887-2517
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A 6047 | CA | Primary |
Addresses
Primary practice location
4950 Bonham Dr
Linden, CA 95236-9491
Mailing address
PO Box 1424
Linden, CA 95236-1424
Phone (209) 887-3891
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX60470 | Medicaid | CA |
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A 6047 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043429186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1424",
"city": "LINDEN",
"state": "CA",
"postal_code": "952361424",
"telephone_number": "209-887-3891",
"fax_number": "209-887-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 BONHAM DR",
"city": "LINDEN",
"state": "CA",
"postal_code": "952369491",
"telephone_number": "209-887-3891",
"fax_number": "209-887-2517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "DARYL",
"middle_name": "JAMES",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A 6047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX60470",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Linden, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.