Desmond Wilson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A144081 Issued in CA

Practice address

166 Geary Street, Ste 1500
#1621
San Francisco, CA 94108

Phone

(415) 212-8356

Fax

(866) 872-8589

NPI assigned

May 30, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 20, 2022 through Dec 20, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1316384472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT STE 370C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941090470",
            "telephone_number": "415-732-7029",
            "fax_number": "415-732-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 GEARY STREET, STE 1500",
            "address_2": "#1621",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108",
            "telephone_number": "415-212-8356",
            "fax_number": "866-872-8589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Daniel Burnham Ct Ste 370C",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941090470",
            "country_code": "US",
            "telephone_number": "415-732-7029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DESMOND",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A144081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryle Wilson
• Danelle Wilson
• David Meybin Wilson, M.D.
• Debra Lynn Wilson
• Deirdra Wilson
• Diane M. Wilson, MFT
• Erika Wilson, NBC-HWC
• Erika Lynn Wilson, ACNP-BC
• Evelyn Silvana Wilson
• Fiona Claire Wilson, M.D.

• Internal Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.