Individual provider Active NPI

Deirdra Wilson

  • Biostatistician
  • San Francisco, CA
National Provider Identifier
1578984308
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
BiostatisticianTaxonomy code 246ZB0600X
Practice address
30 Van Ness Ave Ste 2300
San Francisco, CA 94102-6081
Phone
(415) 581-2417
NPI assigned
Dec 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Biostatistician 246ZB0600X Primary

Addresses

Primary practice location

30 Van Ness Ave Ste 2300
San Francisco, CA 94102-6081

Mailing address

30 Van Ness Ave Ste 2300
San Francisco, CA 94102-6081

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1578984308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 VAN NESS AVE STE 2300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 VAN NESS AVE STE 2300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026081",
            "telephone_number": "415-581-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DEIRDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZB0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Biostatistician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.