DR. SHAYNA TANISE WALKER M.D NPI 1760688295

NPI Information

NPI: 1760688295
Provider Name: DR. SHAYNA TANISE WALKER, M.D
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: NORTH COUNTY HEALTH PROJECT, INC.

PECOS Registration: Yes

Address:
150 VALPREDA RD
SAN MARCOS, CA
ZIP 92069
Phone: (760) 736-8675
Get Directions

DR. Shayna Tanise Walker, M.D is a family medicine in San Marcos, CA with 17 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Shayna Tanise Walker, M.D NPI is 1760688295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 VALPREDA RD
SAN MARCOS, CA
ZIP 92069-973
Phone: (760) 736-8675
Fax: (760) 736-8642

The NPI 1760688295 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 2/29/2016.

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	207Q00000X	Family Medicine		2011-01965	NORTH CAROLINA	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	2011-01965	NORTH CAROLINA	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	A107393	CALIFORNIA	No
4	207Q00000X	Family Medicine		A107393	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	NC7241A	OTHER	NORTH CAROLINA	MEDICARE
2	5920366	MEDICAID	NORTH CAROLINA
3	5920813	MEDICAID	NORTH CAROLINA
4	172W0	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHILED OF NC
5	252985	OTHER	NORTH CAROLINA	MEDCOST, LLC

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: 11/14/2023

NPI Synchronization or Removal

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