Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ryan M Wilke, DO

Individual provider Psychiatry Physician · NPI 1104186899

Ryan M Wilke, DO is a Psychiatry in San Diego, California. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
14
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
AZ, CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11878 Avenue Of Industry
San Diego, CA 92128-3423
Phone: (760) 317-5797
Fax: (858) 788-0071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 20A13131 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence R2153 (AZ)

Record details

NPI number1104186899
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 29, 2012
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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