Active NPI
Erica Celeste Walker
- Mastectomy Fitter
- Sacramento, CA
National Provider Identifier
1538926571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- License
- CFM03025
- Practice address
- 5283 Folsom Blvd
Sacramento, CA 95819-4546 - Phone
- (916) 451-6000
- Fax
- (916) 471-0399
- NPI assigned
- Mar 5, 2024
- Last updated
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | CFM03025 | CA | Primary |
Addresses
Primary practice location
5283 Folsom Blvd
Sacramento, CA 95819-4546
Mailing address
5283 Folsom Blvd
Sacramento, CA 95819-4546
Phone (916) 451-6000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFM03025 | CA | MD | Mastectomy Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Healthcare Image, LLC | Current | Accepting new patients |
Locations
5283 Folsom Blvd
Sacramento, CA 95819
Phone (916) 451-6000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Sacramento, CA
- NPI 1629131842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1538926571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5283 FOLSOM BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958194546",
"telephone_number": "916-451-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5283 FOLSOM BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958194546",
"telephone_number": "916-451-6000",
"fax_number": "916-471-0399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ERICA",
"middle_name": "CELESTE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": "CA",
"license": "CFM03025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.