Bailey Wickard, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101278962 Issued in VA

Practice address

601 McCain Blvd
Coronado, CA 92118

Phone

(619) 545-6210

NPI assigned

Mar 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Bailey Grimsley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1043960289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NMC SAN DIEGO 34800 BOB WILSON DRIVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921340001",
            "telephone_number": "619-532-7599",
            "fax_number": "619-532-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MCCAIN BLVD",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "92118",
            "telephone_number": "619-545-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKARD",
        "first_name": "BAILEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101278962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "GRIMSLEY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David E. Warren, D.D.S.
• Hilori Wastila, RN
• Kathryn Anna Welsch, LMFT
• Charles E Whitney, M.D.
• Aaron Wickard
• Kirsten Marshall Wiley, MPT
• William M Wansa Medical Group
• William Meade Jr MD PC
• Jenny Wong, MD
• Dennis Patrick Wood, PHD

• General Practice Physician in Coronado, CA
• Providers in Coronado, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.