Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
WK MEDICAL GROUP
Active
Organization
WK MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEVGENIY TILMAN (EXECUTIVE DIRECTOR)
(408) 505-1873
Entity
Organization
Contact information
Practice address
4850 UNION AVE, SAN JOSE, CA 95124-5156
(800) 913-2615
Mailing address
4850 UNION AVE, SAN JOSE, CA 95124-5156
(408) 559-3403
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/14/2014
Last updated
04/29/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up