Organization Active NPI

Stephen C Walker MD Inc

  • Specialist
  • Monterey, CA
National Provider Identifier
1720209893
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G34927 Issued in CA
Legal business name
STEPHEN C WALKER MD INC
Practice address
337 El Dorado St
Suite B4
Monterey, CA 93940-4647
Phone
(831) 373-2486
Fax
(831) 373-6519
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Dr. Stephen C Walker, MD
Title
President of Corporation
Phone
(831) 373-2486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X G34927 CA Primary

Addresses

Primary practice location

337 El Dorado St
Suite B4
Monterey, CA 93940-4647

Mailing address

337 El Dorado St
Suite B4
Monterey, CA 93940-4647
Phone (831) 373-2486

Other identifiers 1

IdentifierTypeStateIssuer
00G349270MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1720209893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 EL DORADO ST",
            "address_2": "SUITE B4",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404647",
            "telephone_number": "831-373-2486",
            "fax_number": "831-373-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 EL DORADO ST",
            "address_2": "SUITE B4",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404647",
            "telephone_number": "831-373-2486",
            "fax_number": "831-373-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN C WALKER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "831-373-2486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G34927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G349270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.