MEDICARE: DR. CAROL ASADA WILKINSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY11669	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CP11669	OTHER	CA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	OPL116690	OTHER	CA	BLUE SHIELD PROVIDER#
3	11699155	OTHER	CA	CAQH PROVIDER

General Provider Information

NPI Number	:	1447269949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL ASADA WILKINSON

Provider Business Mailing Address
First Line	:	12625 HIGH BLUFF DR
Second Line	:	SUITE 215
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-2052
Country	:	US
Telephone Number	:	858-792-8300
Fax Number	:	858-408-2494

Provider Business Practice Location Address
First Line	:	12625 HIGH BLUFF DR
Second Line	:	SUITE 215
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-2052
Country	:	US
Telephone Number	:	858-792-8300
Fax Number	:	858-408-2494

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	12/11/2015

Similar Medicare Providers

1902851900 — LAGASSE YATES, INC
Practice Location Address:

12625 HIGH BLUFF DR , SUITE 206
SAN DIEGO, CA
92130-2052

Practice Phone: 858-793-8768
Practice Fax:

1447298369 — CRAIG CARLSON, PH.D., PSYCHOLOGIST, INC.
Practice Location Address:

12625 HIGH BLUFF DR , SUITE 114-C
SAN DIEGO, CA
92130-2052

Practice Phone: 760-494-0089
Practice Fax: 858-755-2359

1881633618 — DR. RONALD BRADFIELD YATES JR. PH.D.
Practice Location Address:

12625 HIGH BLUFF DR , SUITE 206
SAN DIEGO, CA
92130-2052

Practice Phone: 858-793-1855
Practice Fax:

1164461836 — DR. SUSAN LAGASSE PH.D.
Practice Location Address:

12625 HIGH BLUFF DR
SAN DIEGO, CA
92130-2052

Practice Phone: 858-793-8768
Practice Fax:

1821030677 — DR. CRAIG WILLIAM CARLSON PH.D.
Practice Location Address:

12625 HIGH BLUFF DR , SUITE 114-C
SAN DIEGO, CA
92130-2052

Practice Phone: 760-758-5680
Practice Fax: 858-755-2359

1740391572 — DR. TRACY RATERMANN PH.D.
Practice Location Address:

12625 HIGH BLUFF DR , SUITE 215
SAN DIEGO, CA
92130-2052

Practice Phone: 619-933-2760
Practice Fax:

Directions to “ DR. CAROL ASADA WILKINSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.