Stacie Louise Walton, MD - Pediatrics in San Leandro, CA

Stacie Louise Walton, MD is a Pediatrics physician based in San Leandro, California. Stacie Louise Walton is licensed to practice in California (license number G69089) and her current practice location is 2500 Merced St, San Leandro, California. She can be reached at her office (for appointments etc.) via phone at (510) 454-1000.

NPI number for Stacie Louise Walton is 1104998855 and her current mailing address is 2500 Merced St, San Leandro, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104998855.

Contact Information

Stacie Louise Walton, MD
2500 Merced St,
San Leandro, CA 94577-4201
(510) 454-1000
Not Available



Physician's Profile

Full NameStacie Louise Walton
GenderFemale
SpecialityPediatrics
Location2500 Merced St, San Leandro, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104998855
  • Provider Enumeration Date: 11/15/2006
  • Last Update Date: 06/30/2015

Medical Identifiers

Medical identifiers for Stacie Louise Walton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104998855NPI-NPPES
00G690890MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics G69089 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacie Louise Walton is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacie Louise Walton, MD
2500 Merced St,
San Leandro, CA 94577-4201

Ph: (510) 454-1000
Stacie Louise Walton, MD
2500 Merced St,
San Leandro, CA 94577-4201

Ph: (510) 454-1000

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Pediatrics Doctors in San Leandro, CA

Sharon Eileen Durousseau, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Shannon Liu-ku, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 Merced Street, Hospital Building, Nicu, San Leandro, CA 94577
Phone: 510-454-1000    
Dr. Arnold J Blustein, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1235 Harrison St, San Leandro, CA 94577
Phone: 510-352-2425    Fax: 510-352-6273
Berenice M Ku, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Dr. Roxanna Aimee Martinez, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    Fax: 510-547-2702
Dr. Katherine M Gallagher, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1555 Doolittle Drive, Bancroft Pediatrics, San Leandro, CA 94577
Phone: 510-483-2600    

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