Active NPI
Richard D Kilker Jr., MD
- Family Medicine Physician
- Livermore, CA
National Provider Identifier
1932268976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C52520
- Practice address
- 87 Fenton St
Suite 210
Livermore, CA 94550-4100 - Phone
- (925) 373-0337
- Fax
- (925) 373-0257
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C52520 | CA | Primary |
Addresses
Primary practice location
87 Fenton St
Suite 210
Livermore, CA 94550-4100
Mailing address
1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597-2168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34008100 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52520 | CA | MD | General Practice Dentistry |
| C52520 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livermore Medical Clinic, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Livermore, CA
- NPI 1265532014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1932268976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD",
"address_2": "STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 FENTON ST",
"address_2": "SUITE 210",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504100",
"telephone_number": "925-373-0337",
"fax_number": "925-373-0257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILKER",
"first_name": "RICHARD",
"middle_name": "D",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C52520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34008100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.