JAMES DOUGLAS WILK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1699017079

JAMES DOUGLAS WILK (DPM) is a healthcare provider. based in Harbor city, California. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. E5240 (CA). The NPI Number for JAMES DOUGLAS WILK (DPM) is 1699017079

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JAMES DOUGLAS WILK (DPM)
NPI
1699017079
Phone
(424) 251-7100
Address
25821 VERMONT AVE
Enumeration Date
23 March 2013
Last Update Date
2 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3103255111
Graduation Year
2013 (13 years ago)
PAC ID
7416244488
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20160920001442
Address ID
CA907103518HA25825AVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

1,833 PODIATRY in CA

Provider Addresses for JAMES DOUGLAS WILK (DPM)

  • 25821 VERMONT AVE

    ORTHOPEDICS/PODIATRY

    HARBOR CITY, CA 907103518

    Phone: (424) 251-7100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160920001442IPodiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90710)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm JAMES DOUGLAS WILK (DPM)'s NPI?
Yes. JAMES DOUGLAS WILK (DPM) is listed with NPI 1699017079 in the public NPI dataset.
Does CMS list JAMES DOUGLAS WILK (DPM) as active?
Yes — JAMES DOUGLAS WILK (DPM) is active in the NPI listing used on this page.
What taxonomy line describes JAMES DOUGLAS WILK (DPM)?
For research purposes, treat JAMES DOUGLAS WILK (DPM) as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JAMES DOUGLAS WILK (DPM)?
JAMES DOUGLAS WILK (DPM)'s geographic hint is Harbor City, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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