Stacie Louise Walton
M.D. | Pediatrics | Female
Stacie Louise Walton, M.D. is a San Leandro, California based Pediatric doctor with medical specialization in
General Pediatrics. Stacie Louise Walton is also known as
Stacie Louise Walton-brown.
Current practice location of Stacie Louise Walton is
2500 Merced St, San Leandro, California - 94577-4201. She can be contacted on phone at
510-454-1000.
Stacie Louise Walton is a sole proprietor of her business.
NPI number (Unique professional ID) for Stacie Louise Walton is
1104998855 which was assigned by NPPES on 15 Nov, 2006 and it was last updated on 30 Jun, 2015.
Stacie Louise Walton license number is
G69089 for Pediatrics (208000000X) in California.
Stacie Louise Walton is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Stacie Louise Walton basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Stacie Louise Walton |
|---|
| Other Name : | Stacie Louise Walton-brown |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Stacie Louise Walton 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 : | 2500 Merced St
San Leandro, CA, 94577-4201
United States |
|---|
| Phone Number : | 510-454-1000 |
|---|
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 : | 1104998855 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Nov, 2006 |
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| Last Updated On : | 30 Jun, 2015 |
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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 Stacie Louise Walton are as mentioned. Primary taxonomy code for Stacie Louise Walton, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G69089 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Stacie Louise Walton such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G690890 | 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 : | 2500 Merced St
San Leandro, CA, 94577-4201
United States |
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| Phone Number : | 510-454-1000 |
|---|
Business Location:
Patients can refer following map for directions to
Stacie Louise Walton practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.