Kristen Vandewalker, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A82271 Issued in CA

Practice address

3301 C St
Suite 200-E
Sacramento, CA 95816-3300

Phone

(916) 447-6267

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Diagnostic Pathology Medical Group Inc

  • Specialist
  • Davis, CA
  • NPI 1700961927
  Medicare reassignment NPD
• Diagnostic Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Lodi, CA
  • NPI 1023673167
  NPD
• Diagnostic Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Sacramento, CA
  • NPI 1235138868
  NPD
• Diagnostic Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Vallejo, CA
  • NPI 1992199160
  NPD
• Lodi Memorial Hospital Association Inc

  • General Acute Care Hospital
  • Lodi, CA
  • NPI 1316938301
  NPD
• Diagnostic Pathology Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Carson City, NV
  • NPI 1417636093
  NPD
• Diagnostic Pathology Medical Group Inc

  • Specialist
  • Sacramento, CA
  • NPI 1588749162
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124070743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 C ST",
            "address_2": "SUITE 200-E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163300",
            "telephone_number": "916-447-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST",
            "address_2": "SUITE 200-E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163300",
            "telephone_number": "916-447-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEWALKER",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A82271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Paige Vandermey
• Clare Gibson Vanderpool
• Michael Alexander Vanderslice, MD
• Taylor Vandersteen
• Aaron Vandeveer
• Jessica Vando, PH.D.
• Rosemary Freitas Vando, PH.D
• Kiana Vaneck
• Vang Pharmacy Inc
• Shani Vang-Mouayang, RRT, BSRT

• Specialist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.