NPIMap

Individual provider Active NPI

Stephanie Anne Walton, M.D.

  • Pediatrics Physician
  • Sacramento, CA
National Provider Identifier
1558313312
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G070902 Issued in CA
Practice address
7237 E Southgate Dr
Suite a
Sacramento, CA 95823-2637
Phone
(916) 422-6635
Fax
(916) 422-6500
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G070902 CA Primary

Addresses

Primary practice location

7237 E Southgate Dr
Suite a
Sacramento, CA 95823-2637

Mailing address

7237 E Southgate Dr
Suite a
Sacramento, CA 95823-2637
Phone (916) 422-6635

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

LicenseStateTypeSpecialty
G070902CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Dignity Community Care Past Accepting new patients
Sacramento Pediatrics Medical Group Pediatrics Past Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Walton Pediatrics and Medical Associates, Inc Pediatrics Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: walton.stephanie.005.0050228@wpma.meditab.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1558313312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7237 E SOUTHGATE DR",
            "address_2": "SUITE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232637",
            "telephone_number": "916-422-6635",
            "fax_number": "916-422-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7237 E SOUTHGATE DR",
            "address_2": "SUITE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232637",
            "telephone_number": "916-422-6635",
            "fax_number": "916-422-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G070902",
            "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 Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.