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STACIE LOUISE WALTON M.D.
NPI 1104998855
Pediatrics in San Leandro, CA

Active since November 15, 2006
2500 MERCED ST, SAN LEANDRO, CA 94577(510) 454-1000 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacie Louise Walton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACIE LOUISE WALTON M.D. (NPI 1104998855) is an individual pediatrics provider in San Leandro, California, licensed in California (G69089) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1104998855
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSTACIE LOUISE WALTONCredential: M.D.
Location Address2500 MERCED STSan Leandro, CA 94577-4201
Mailing Address2500 Merced StSan Leandro, CA 94577-4201 · (510) 454-1000
Phone(510) 454-1000
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJune 30, 2015
✔ NPI 1104998855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G69089
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2500 MERCED ST, San Leandro, CA 94577
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Other Names 1

Former Name (1)Stacie Louise Walton-brown

Other Identifiers 3

Medicaid00G690890CA
Medicare ID-Type Unspecified00G690890
Medicare UPINE66054

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHIENA SHARMA MD
Anesthesiology
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
ANTHONY MICHAEL BATTAGLIA RN
Registered Nurse
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
DR. ELIZABETH MACERA N.P.
Nurse Practitioner
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
MS. TSUI TAM PHARM. D.
Pharmacist
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-2747
JEFFREY LI M.D.
Radiology (Diagnostic Radiology)
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 737-3032
CHIN-HSIANG FENG
Emergency Medicine
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 518-5598
MS. JESSICA RAE MARTINEZ CNM
Advanced Practice Midwife
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (925) 548-4751
DR. GRACE MINDY LEE M.D.
Emergency Medicine
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacie Walton's NPI number?

The NPI number for Stacie Walton is 1104998855. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Stacie Louise Walton-Brown.

Where is Stacie Walton located?

Stacie Walton practices at 2500 Merced St, San Leandro, CA 94577. The listed phone number is (510) 454-1000.

What is Stacie Walton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Stacie Walton was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.