Active NPI
Seigfred P. Jalalon, M.D.
- Family Medicine Physician
- Walnut Creek, CA
National Provider Identifier
1043231038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C54436
- Practice address
- 1450 Treat Blvd # 160
Walnut Creek, CA 94597-2168 - Phone
- (925) 296-9000
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 20901 | KY | |
| Family Medicine Physician | 207Q00000X | 20901 | KY | |
| Family Medicine Physician | 207Q00000X | C54436 | CA | Primary |
Addresses
Primary practice location
1450 Treat Blvd # 160
Walnut Creek, CA 94597-2168
Mailing address
1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2888
Other practice location 1
1028 E Main St
Morehead, KY 40351-1328
Phone (606) 783-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64209018 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C54436 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Lexington Urgent Treatment Associates PSC | Emergency Medicine | Past | Accepting new patients |
| Sutter Bay Medical Foundation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
dba Urgent Treatment Clinics UTC
- Internal Medicine Physician
- Lexington, KY
- NPI 1396724092
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1043231038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD # 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168",
"telephone_number": "925-952-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD # 160",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168",
"telephone_number": "925-296-9000"
}
],
"practiceLocations": [
{
"address_1": "1028 E Main St",
"address_purpose": "LOCATION",
"city": "Morehead",
"state": "KY",
"postal_code": "403511328",
"country_code": "US",
"telephone_number": "606-783-6400",
"fax_number": "606-783-6877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JALALON",
"first_name": "SEIGFRED",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "20901",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "20901",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C54436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64209018",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.