DR. RONALD RAYMOND WALKER M.D. NPI 1134226590

NPI Information

NPI: 1134226590
Provider Name: DR. RONALD RAYMOND WALKER, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
16250 MAIN STREET
SUITE A
LOWER LAKE, CA
ZIP 95457
Phone: (707) 995-3011
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DR. Ronald Raymond Walker, M.D. is a general practice in Lower Lake, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Ronald Raymond Walker, M.D. NPI is 1134226590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16250 MAIN STREET
SUITE A
LOWER LAKE, CA
ZIP 95457-713
Phone: (707) 995-3011
Fax: (707) 995-3019

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		G51470	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G514701	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE NUMBER
2	00G514700	OTHER	CALIFORNIA	BLUE SHIELD NUMBER
3	00G514700	MEDICAID	CALIFORNIA
4	A52000	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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