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Dr. Bailey Wickard , MD

General Practice β€’ Coronado, CA

Active NPI 1043960289 Individual Practitioner Female Practitioner
Practice location in NPPES

601 Mccain Blvd
Coronado, CA 92118

Call 6195456210 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

601 Mccain Blvd

Coronado, CA 92118

Telephone 6195456210

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Coronado and California

5 active clinicians are listed under General Practice with a practice address in Coronado, CA (1,963 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-22
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0101278962

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ‘€
Provider Name / Credentials Updated April 22, 2026

Recorded as BAILEY WICKARD, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2024

General Practice (license number reported to NPPES: VA 0101278962)

πŸ“
Updated Practice Location February 14, 2024

Registered at 601 MCCAIN BLVD, CORONADO, CA 92118 (Tel: 6195456210)

πŸ‘€
Provider Name / Credentials Updated February 14, 2024

Recorded as BAILEY GRIMSLEY, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2024

Preventive Medicine (license number reported to NPPES: VA 0101278962)

βœ…
NPI Profile Active March 28, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 28, 2022

Registered at NMC SAN DIEGO 34800 BOB WILSON DRIVE, SAN DIEGO, CA 921340001 (Tel: 6195327599)

πŸ“
Business Mailing Address (Initial Record) March 28, 2022

Registered at NMC SAN DIEGO 34800 BOB WILSON DRIVE, SAN DIEGO, CA 921340001 (Tel: 6195327599)

πŸ‘€
Provider Name / Credentials (Initial Record) March 28, 2022

Recorded as BAILEY GRIMSLEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 28, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043960289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2022
Last Update: April 22, 2026
Sole Proprietor: Yes

Mailing Address

Nmc San Diego 34800 Bob Wilson Drive

San Diego, CA 921340001

Phone: 6195327599

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.