Walter Stanley Yourchek, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G11189 Issued in CA

Practice address

4553 Quail Lakes Dr
Stockton, CA 95207

Phone

(209) 951-1133

Fax

(209) 951-4708

NPI assigned

Jul 1, 2006

Sex

Male

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

Specialty

Dermatology

Education

George Washington University School of Medicine, 1964

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Walter S Yourchek M D Inc

  • Dermatology Physician
  • Stockton, CA
  • NPI 1336034016
  Medicare reassignment NPD Authorized official
• Artius Dermatology Associates, P.C.

  • Dermatology Physician
  • Hanford, CA
  • NPI 1245782291
  Medicare reassignment NPD
• Quail Lakes Dermatology Medical Associates, Inc.

  • Specialist
  • Stockton, CA
  • NPI 1275536872
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1487683579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 QUAIL LAKES DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95207",
            "telephone_number": "209-951-1133",
            "fax_number": "209-951-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 QUAIL LAKES DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95207",
            "telephone_number": "209-951-1133",
            "fax_number": "209-951-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOURCHEK",
        "first_name": "WALTER",
        "middle_name": "STANLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G11189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ann Youngblood
• Lynell Bennett Youngblood, BA, CADCII, NCACII
• Kasandra Evette Younger
• Nhia Younger
• Your Inner Peace Counseling & Wellness
• Marleen Anne Yu-Li, MD
• Edmund Yu, DPM
• Jin Yu
• Phillip S Yu, MD
• Terry Yu

• Dermatology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.