KYLE WALSH
NPI 1720400096
Nurse Practitioner - Family in Oakland, CA
About Kyle Walsh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE WALSH (NPI 1720400096) is an individual family provider in Oakland, California, licensed in California (23303) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyle Walsh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OAKLAND, CA 94601
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 Kyle Walsh's NPI number?
The NPI number for Kyle Walsh is 1720400096. It was assigned to this individual provider in the NPPES registry on January 6, 2014.
Where is Kyle Walsh located?
Kyle Walsh practices at 2950 International Blvd, Oakland, CA 94601. The listed phone number is (510) 535-4400.
What is Kyle Walsh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kyle Walsh enrolled in Medicare?
Yes. Kyle Walsh is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kyle Walsh was last updated on January 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kyle Walsh · NPI 1720400096
Family physician in Oakland, California. Individual provider, active in the CMS NPPES registry since January 6, 2014.
## Identity
- **NPI:** 1720400096 (Entity type: Individual)
- **Enumerated:** January 6, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 23303 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2950 INTERNATIONAL BLVD, Oakland, CA 94601-2228
- **Phone:** (510) 535-4400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** January 6, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1720400096) · Data from the CMS NPPES public registry.