CHARLES CLINTON WALKER (NPI# 1962424796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962424796 |
| Entity Type | Individual |
| Full Name | CHARLES CLINTON WALKER |
| Credential | M.D. |
| Practice Address |
2020 Sutter Pl Suite 101 Davis CA 95616-6201 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 5307505830 |
| Practice Fax Number | 5307505891 |
| Mailing Telephone | 8557710335 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2015-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G56569 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G565690 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518450394 | Charles D Walker | Nurse Practitioner | 0121 Md Hsp Combat Support, Apo, AP 96205 | 2018-06-07 |
| 1407130651 | Charles Walker | Nurse's Aide | 2822 S. Moreland Blvd, Apt 2, Cleveland, OH 44120 | 2011-10-06 |
| 1184957672 | Charles Walker | Counselor | 7418 E Helm Dr Ste 117, Scottsdale, AZ 85260-2418 | 2009-09-15 |
| 1336260959 | Charles R Walker | Dentist | 2020 S 1300 E Ste A, Salt Lake City, UT 84105-3650 | 2007-04-02 |
| 1144360785 | Charles Allen Walker | Anesthesiology | 707 E Wood St, Paris, TN 38242-4221 | 2007-02-06 |
| 1649321936 | Charles Andrew Walker | Specialist/Technologist | 604 Winter Meadows Dr., O'fallon, MO 63366 | 2007-01-15 |
| 1801996905 | Charles G Walker | Family Medicine | 15 Vaughan St, Lakeville, MA 02347-1638 | 2006-09-25 |
| 1184643959 | Charles Walker | Physician Assistant | 703 Leonard Ave, Albemarle, NC 28001 | 2006-07-19 |
| 1154389369 | Charles Andrew Walker | Surgery | 1502 E Evans St, Bainbridge, GA 39819-4364 | 2006-05-04 |
| 1720074180 | Charles Matthew Walker | Pharmacist | 261 Calhoun St, Charleston, SC 29401-1371 | 2005-09-21 |
| Street Address |
2020 SUTTER PL SUITE 101 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467428656 | Michael S Petersen | Orthopaedic Surgery | 2020 Sutter Pl, Suite 104, Davis, CA 95616-6213 | 2006-02-27 |
| 1841706140 | Eric Bailey | Specialist/Technologist | 2020 Sutter Pl, Davis, CA 95616-6213 | 2017-12-21 |
| 1366835670 | Alexa Christine Smith-ellison | Nurse Practitioner | 2020 Sutter Pl, 203, Davis, CA 95616-6213 | 2015-03-11 |
| 1467844969 | Eric Westgate Kinsey | Physician Assistant | 2020 Sutter Pl, 101, Davis, CA 95616-6213 | 2015-02-20 |
| 1720345895 | David Posner | Family Medicine | 2020 Sutter Pl, Suite 101, Davis, CA 95616-6213 | 2012-04-13 |
| 1487942728 | Amparo M Cerda | Registered Nurse | 2020 Sutter Pl, Ste 101, Davis, CA 95616-6213 | 2011-07-20 |
| 1043442650 | Scott Mcintosh Porter | Orthopaedic Surgery | 2020 Sutter Pl, Suite 104, Davis, CA 95616-6213 | 2009-08-14 |
| 1174764187 | Jessica Lynn Witty Nagel | Advanced Practice Midwife | 2020 Sutter Pl, Suite 203, Davis, CA 95616-6213 | 2009-03-20 |
| 1457508608 | Mark Moeller | Family Medicine | 2020 Sutter Pl, Suite 101, Davis, CA 95616-6213 | 2008-08-19 |
| 1396924874 | Sarah Joan Markley | Pediatrics | 2020 Sutter Pl, Davis, CA 95616-6213 | 2007-10-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871029611 | Ana Lopez-vera | Family Medicine | 1112 Eagle Pl, Davis, CA 95616-5700 | 2017-05-11 |
| 1609285584 | Sharon Amon | Family Medicine | 2408 Elendil Ln, Davis, CA 95616-3044 | 2014-08-05 |
| 1558646513 | Pin-chieh Chiang | Family Medicine | 216 F Street, Ste141, Davis, CA 95616 | 2011-10-20 |
| 1265734925 | David K Leung | Family Medicine | 638 Coolidge St, Davis, CA 95616-3064 | 2010-11-30 |
| 1477648921 | Jeffrey Kraig Katzenmeyer | Family Medicine | 2020 Sutter Place, #101, Davis, CA 95616 | 2006-10-03 |
| 1710094529 | Rupert J.o. Visaya | Family Medicine | 3435 Verona Ter, Davis, CA 95618-6724 | 2006-08-25 |
| 1730294448 | Kenneth C Clay | Family Medicine | 2660 W Covell Blvd Ste C, Davis, CA 95616-5645 | 2006-08-20 |
| 1689602773 | Mark P Ewens | Family Medicine | 2330 W. Covell Blvd, Davis, CA 95616-5058 | 2006-06-29 |
| 1568498319 | Thomas W Ormiston | Family Medicine | 2330 W Covell Blvd, Davis, CA 95616-5658 | 2006-06-23 |
| 1306882030 | Sarah Sallee Jones | Family Medicine | 2030 Sutter Place, #2000, Davis, CA 95616 | 2006-06-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.