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RYAN M. WILKE, D.O., A MEDICAL CORPORATION
NPI 1386177251
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since April 07, 2017
11878 AVENUE OF INDUSTRY, SAN DIEGO, CA 92128(760) 317-5797(858) 788-0071 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2025, Jun 20, 2018, Jun 12, 2018 and 1 more (4 updates tracked since 2017).

About Ryan M. Wilke, D.o., A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN M. WILKE, D.O., A MEDICAL CORPORATION (NPI 1386177251) is a healthcare organization registered as a psychiatry in San Diego, California and active in the NPI registry since April 2017. The organization lists Ryan Michael-david Wilke, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1386177251
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameRYAN M. WILKE, D.O., A MEDICAL CORPORATION
Location Address11878 AVENUE OF INDUSTRYSan Diego, CA 92128-3423
Mailing AddressPo Box 1770La Mesa, CA 91944-1770 · (760) 317-5797 · Fax (760) 739-5792
Phone(760) 317-5797
Fax(858) 788-0071
Organization SubpartNo
Authorized OfficialRyan Michael-david WilkeOwner/president · (760) 317-5797
Enumeration DateApril 7, 2017
Last NPPES UpdateOctober 7, 20254 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1386177251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
11878 AVENUE OF INDUSTRY, San Diego, CA 92128
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan M. Wilke, D.o., A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ryan M. Wilke, D.O., A Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Wilke, D.O.
Psychiatry
NPI 1104186899
11878 AVENUE OF INDUSTRY
San Diego, CA 92128
(760) 317-5797
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan M. Wilke, D.O., A Medical Corporation's NPI number?

The NPI number for Ryan M. Wilke, D.O., A Medical Corporation is 1386177251. It was assigned to this organization in the NPPES registry on April 7, 2017.

Where is Ryan M. Wilke, D.O., A Medical Corporation located?

Ryan M. Wilke, D.O., A Medical Corporation is located at 11878 Avenue Of Industry, San Diego, CA 92128. The listed phone number is (760) 317-5797.

What is Ryan M. Wilke, D.O., A Medical Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ryan M. Wilke, D.O., A Medical Corporation enrolled in Medicare?

Yes. Ryan M. Wilke, D.O., A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ryan M. Wilke, D.O., A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Ryan M. Wilke, D.O., A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ryan M. Wilke, D.O., A Medical Corporation was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.