Active NPI
Jeremy M Wilkinson, MD
- Child & Adolescent Psychiatry Physician
- Burlingame, CA
National Provider Identifier
1225292949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A109151
- Practice address
- 1633 Bayshore Hwy
Ste 138
Burlingame, CA 94010-1544 - Phone
- (650) 918-6005
- NPI assigned
- Jul 11, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | A109151 | CA | Primary |
| Psychiatry Physician | 2084P0800X | A109151 | CA |
Addresses
Primary practice location
1633 Bayshore Hwy
Ste 138
Burlingame, CA 94010-1544
Mailing address
1633 Bayshore Hwy
Ste 138
Burlingame, CA 94010-1544
Phone (650) 918-6005
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A109151 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431388800000",
"number": "1225292949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 BAYSHORE HWY",
"address_2": "STE 138",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940101544",
"telephone_number": "650-918-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 BAYSHORE HWY",
"address_2": "STE 138",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940101544",
"telephone_number": "650-918-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "JEREMY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2015-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A109151",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A109151",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlingame, CA
- Andria Whipple, LPC
- Olivia Kathryn White Brock, MS, NCC, LPC, LMHC
- Christopher Dawson White, M.D.
- Frances-Anne Anonas White, MSN,RN,FNP
- Erik Joseph Wilk, MD
- Andrew Scott Willard
- William B. Bohannan DDS, MD, PC (William B. Bohannan DDS, MD)
- William D. Zigrang, MD
- Johnny Williams I
- Ross O Williams, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.