Individual provider Active NPI

Robert C Walker, DO

  • Family Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1093867970
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8425 Issued in CA
Practice address
2315 Otay Lakes Road
Suite 306
Chula Vista, CA 91914
Phone
(714) 389-5700
Fax
(714) 389-6973
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A8425 CA Primary

Addresses

Primary practice location

2315 Otay Lakes Road
Suite 306
Chula Vista, CA 91914

Mailing address

2315 Otay Lakes Road
Suite 306
Chula Vista, CA 91914
Phone (714) 389-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050520001004 CA Practitioner - Family Practice 3476511171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marque Medical Clinic, Inc.Group PAC ID 9537345665, 21 clinicians

Practice addresses (Care Compare)

2075 San Joaquin Hills Rd
Newport Beach, CA 92660-6505
Phone (877) 693-6266

21770 Lake Forest Dr
Suite 109
Lake Forest, CA 92630-2751
Phone (877) 693-6266

22461 Antonio Pkwy
Suite A135
Rancho Santa Margarita, CA 92688-2806
Phone (949) 760-9222

26831 Aliso Creek Rd
Suite 200
Aliso Viejo, CA 92656-5341
Phone (949) 760-9222

4085 Governor Dr
San Diego, CA 92122-2522
Phone (949) 760-9222

4490 Fanuel St
Suite 100
San Diego, CA 92109-8737
Phone (949) 760-9222

605 E Palomar St
Suite 103
Chula Vista, CA 91911-6975
Phone (877) 693-6266

6316 Lake Murray Blvd
La Mesa, CA 91942-2502
Phone (949) 760-9222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
8425CAMDAddiction (Substance Use Disorder) Counselor
20A8425CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marque Medical Clinic, Inc CurrentSince Feb 10, 2018 Accepting new patients
Marque Medical Clinic, Inc. Family Medicine CurrentSince Feb 10, 2018 Accepting new patients

Locations

2315 Otay Lakes Rd
Ste 306
Chula Vista, CA 91915
Phone (619) 946-4700

21770 LK FRST Dr
Ste 109
Lake Forest, CA 92630
Phone (877) 693-6266

2075 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (877) 693-6266

4490 Fanuel St
Ste 100
San Diego, CA 92109

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1093867970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 OTAY LAKES ROAD",
            "address_2": "SUITE 306",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91914",
            "telephone_number": "714-389-5700",
            "fax_number": "714-389-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 OTAY LAKES ROAD",
            "address_2": "SUITE 306",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91914",
            "telephone_number": "714-389-5700",
            "fax_number": "714-389-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.