Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PARK AVENUE WALK IN CLINIC
Active
Organization
PARK AVENUE WALK IN CLINIC
Active
Parent organization
BUCKWALTER FAMILY MEDICINE LTD.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUCKWALTER FAMILY MEDICINE LTD.
Authorized official
DR. KEVIN BUCKWALTER MD (PHYSICIAN OWNER)
(925) 825-8181
Entity
Organization
Contact information
Practice address
1280 MONUMENT BLVD STE 1, CONCORD, CA 94520-4405
(925) 825-8181
(925) 825-8383
Mailing address
1280 MONUMENT BLVD STE 1, CONCORD, CA 94520-4405
(925) 825-8181
(925) 825-8383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A63401
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003813478
NPI INDIVIDUAL
CA
01
—
1942407283
NPI TYPE 2
CA
Enumeration date
06/29/2007
Last updated
09/01/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up