DR. WALTER E STEVENS JR. M.D.
NPI 1720058134
Specialist in Upland, CA

Q: What is Walter Stevens's NPI number?

The NPI number for Walter Stevens is 1720058134. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Walter Stevens's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Walter Stevens was last updated on June 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 26, 2006PECOS Enrolled

1330 SAN BERNARDINO RD, SUITE J, UPLAND, CA 91786(909) 981-5406(909) 981-4933 Get Directions Write a Review

NPPES record last updated: June 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Walter E Stevens Jr. M.d. NPPES

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

DR. WALTER E STEVENS JR. M.D. (NPI 1720058134) is an individual specialist in Upland, California, licensed in California (G58132) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720058134

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. WALTER E STEVENS JR.Credential: M.D.

Location Address1330 SAN BERNARDINO RD, SUITE JUpland, CA 91786-4928

Mailing Address1330 San Bernardino Rd, Suite JUpland, CA 91786-4928 · (909) 981-5406 · Fax (909) 981-4933

Phone(909) 981-5406

Fax(909) 981-4933

Sole ProprietorYes

Enumeration DateJanuary 26, 2006

Last NPPES UpdateJune 9, 2012

✔ NPI 1720058134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G58132

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1330 SAN BERNARDINO RD, Upland, CA 91786

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Other Identifiers 4

Medicare ID-Type UnspecifiedG58132CA

Medicare PINCW832ACA

Medicare PIN00G581320CA

Medicare UPINE89182CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Walter E Stevens Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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