Active NPI
Susan Beth Walker, MD
- Pediatrics Physician
- Bakersfield, CA
National Provider Identifier
1285754853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G60839
- Practice address
- 9508 Stockdale Hwy
120
Bakersfield, CA 93311-3622 - Phone
- (661) 665-7822
- Fax
- (661) 665-6724
- NPI assigned
- Mar 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G60839 | CA | Primary |
Addresses
Primary practice location
9508 Stockdale Hwy
120
Bakersfield, CA 93311-3622
Mailing address
PO Box 2465
Bakersfield, CA 93303-2465
Phone (661) 665-7822
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G60839 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285754853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2465",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933032465",
"telephone_number": "661-665-7822",
"fax_number": "661-665-7824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9508 STOCKDALE HWY",
"address_2": "120",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933113622",
"telephone_number": "661-665-7822",
"fax_number": "661-665-6724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SUSAN",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G60839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.