Organization Active NPI

Craig Wilkes

  • Podiatrist
  • Rocklin, CA
National Provider Identifier
1912418443
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3432 Issued in CA
Legal business name
CRAIG WILKES
Practice address
6000 Fairway Dr Ste 18
Rocklin, CA 95677-4246
Phone
(916) 435-5200
Fax
(916) 435-5231
NPI assigned
Oct 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Miss Kim Wolfe
Title
Biller
Phone
(916) 983-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E3432 CA Primary

Addresses

Primary practice location

6000 Fairway Dr Ste 18
Rocklin, CA 95677-4246

Mailing address

PO Box 2288
Rocklin, CA 95677-8288
Phone (916) 435-5200

Other names 2

  • Craig Wilkes Former legal business name
  • craisgwilkes Former legal business name

National Provider Directory

National Provider Directory

Locations

6403 Coyle Ave
Ste 390
Carmichael, CA 95608
Phone (916) 965-6117

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1912418443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2288",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956778288",
            "telephone_number": "916-435-5200",
            "fax_number": "916-435-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 FAIRWAY DR STE 18",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774246",
            "telephone_number": "916-435-5200",
            "fax_number": "916-435-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG WILKES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "916-983-8555",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craig Wilkes",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "craisgwilkes",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.