L Reed Walker Jr MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G19285 Issued in CA

Legal business name

L REED WALKER JR MD INC

Practice address

990 Sonoma Ave
Suite 5
Santa Rosa, CA 95404-4802

Phone

(707) 539-9307

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. L Reed Walker Jr Jr., MD

Title

President

Phone

(707) 539-9307

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197072000000",
    "number": "1922146240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 VAUGHN CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954092828",
            "telephone_number": "707-539-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE",
            "address_2": "SUITE 5",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044802",
            "telephone_number": "707-539-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L REED WALKER JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-12-08",
        "status": "A",
        "authorized_official_last_name": "WALKER JR",
        "authorized_official_first_name": "L REED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-539-9307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G19285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G192850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jin Kwon, MD
• Nicole Boon Jung Kwon, M.D.
• Jane Kwong
• Charlotte Kyle
• Kristen Huff Kyle
• Danielle Carmen La Luz
• Brad Fitzgerald Labass, LMFT
• Lorette Marie Labataille, M.D.
• Tyler Matthew Labbe
• Michelle Lablue, RDN

• Family Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Medicine Physician in California

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

Verify at the official NPI Registry.