Gerald P Wilner, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G-20943 Issued in CA

Practice address

1260 S Eliseo Dr
Floor 2
Greenbrae, CA 94904-2009

Phone

(415) 461-7800

Fax

(415) 461-8619

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Prima Medical Foundation

  • Clinic/Center
  • Novato, CA
  • NPI 1811217946
  Medicare reassignment NPD
• Regents Univ of California UCSF

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1124439807
  NPD

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1285730275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HAMILTON LNDG",
            "address_2": "SUITE 100",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949498256",
            "telephone_number": "415-884-1840",
            "fax_number": "415-883-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S ELISEO DR",
            "address_2": "FLOOR 2",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042009",
            "telephone_number": "415-461-7800",
            "fax_number": "415-461-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILNER",
        "first_name": "GERALD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G-20943",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G-20943",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G209430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aalaya Wheeler, ASW
• Kimberly Dianne Wian, NP
• William R. Klemme, MD, Inc.
• Jenna Rose Nicoletti Williams, MS, CCC-SLP
• Jessica Jaminda Williams
• Kimberly Susan Wiston, OTRL
• Reese Merritt Withers III
• Women'S Medical Associates
• Brandon Matthew Wong, PA-C
• Jason Ming Wong

• Gynecology Physician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.