Mark Walters
MO | Pediatric Hematology-Oncology | Male
Mark Walters, MO is a Oakland, California based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Mark Walters is
747 52nd Street, Oakland, California - 94609. He can be contacted on phone at
510-428-3374 and fax number 510-601-3916.
Mark Walters is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark Walters is
1588753610 which was assigned by NPPES on 12 Oct, 2006 and it was last updated on 08 Jul, 2007.
Mark Walters license number is
G85406 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in California.
Mark Walters is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Mark Walters basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Mark Walters |
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| Credential : | MO |
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| Gender : | Male |
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Business Address:
Mark Walters address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 747 52nd Street
Oakland, CA, 94609
United States |
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| Phone Number : | 510-428-3374 |
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| Fax Number : | 510-601-3916 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1588753610 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Oct, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Medicare Participation:
Mark Walters participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9335118553 |
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| Medicare Enrollment ID : | I20190304000184 |
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| Primary Specialty : | Hematology/oncology |
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| Medical School : | University Of California, San Diego School Of Medicine |
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| Graduation Year : | 1985 |
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| Accepts Medicare? | Yes. Mark Walters accepts medicare insurance. |
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Group Practice Association:
Mark Walters is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mark Walters is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Ucsf Medical Group Business Services | 3779497870 | 999 | 400 Parnassus Ave
San Francisco, CA - 941432202
Ph: 4154761000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Walters are as mentioned. Primary taxonomy code for Mark Walters, MO is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | G85406 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Mark Walters such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00G854060 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5528 Pacheco Blvd A
Pacheco, CA, 94553
United States |
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| Phone Number : | 925-363-8170 |
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| Fax Number : | 925-363-4995 |
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Business Location:
Patients can refer following map for directions to
Mark Walters practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.