Wk Medical Group
NPI 1588083992 · Psychiatry Physician · San Jose, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1588083992
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yevgeniy Tilman, Executive Director(408) 505-1873
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 1575 Old Bayshore Hwy Ste 201Burlingame, CA 94010-1616Phone: (800) 913-2615
- 2542 S Bascom Ave Ste 100Campbell, CA 95008-5541Phone: (800) 913-2615
- 2235 Douglas Blvd Ste 500Roseville, CA 95661-4266Phone: (800) 913-2615
Registry dates
- Enumerated
- 2014-04-14
- Last updated
- 2025-04-29
- Certified
- 2025-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.