Xander Maria Robertus Van Wijk, PHD, DABCC, FADLM

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

MTC-02003337 Issued in CA

Practice address

185 Berry St Ste 290
San Francisco, CA 94107-1773

Phone

(415) 476-7888

NPI assigned

Dec 5, 2024

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1487460341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BERRY ST STE 290",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 BERRY ST STE 290",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071773",
            "telephone_number": "415-476-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WIJK",
        "first_name": "XANDER",
        "middle_name": "MARIA ROBERTUS",
        "name_prefix": "Dr.",
        "credential": "PHD, DABCC, FADLM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "MTC-02003337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandrijn M. Van Schaik, M.D.
• Margaretha Van Sloun
• Andrew Gerard Van Vugt, M.D.
• Jennifer M Van Warmerdam, M.D.
• Phillip Harry Van Why, 24720000X
• Annemieke Van Zante, MD
• Maryke Van Zyl, PHD
• Melody Vanbeek
• Kayla Brookie Gainer Vanbibber, ACSW
• Martha T Vanbik, CCC-SLP

• Clinical Pathology/Laboratory Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Pathology/Laboratory Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.