Stacie Louise Walton in San Leandro - Pediatrics
Stacie Louise Walton - NPI 1104998855
Stacie Louise Walton is a Pediatrics in San Leandro, California. Stacie Louise Walton practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stacie Louise Walton is 1104998855. The last update date is 2015-06-30.
Stacie Louise Walton's current location address is 2500 Merced St, San Leandro, California. You can contact this provider via phone number 5104541000. The mailing address for Stacie Louise Walton is 2500 Merced St, San Leandro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacie Louise Walton |
|---|---|
| Address | 2500 Merced St, San Leandro, California |
| Phone Number | 5104541000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104998855 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2015-06-30 |
Provider Mailing Address Detail
| Address | 2500 Merced St |
|---|---|
| City | San Leandro |
| State | California (CA) |
| Post Code | 945774201 |
| Phone Number | 5104541000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | G69089 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G690890 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stacie Louise Walton by the Centers for Medicare & Medicaid Services?
The Stacie Louise Walton has been issued the NPI (National Provider Identifier) 1104998855, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Stacie Louise Walton is physically located?
The Stacie Louise Walton is situated at the following address: 2500 Merced St, San Leandro, CA 945774201.
What is Stacie Louise Walton's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stacie Louise Walton is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104998855 to Stacie Louise Walton?
The Centers for Medicare & Medicaid Services originally issued the 1104998855 to Stacie Louise Walton on 2006-11-15.
When was the information regarding Stacie Louise Walton, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stacie Louise Walton, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-06-30.