James Kennedy Wall, MD | |
725 Welch Rd, Palo Alto, CA 94304-1601 | |
(650) 497-8000 | |
(650) 725-5577 |
Full Name | James Kennedy Wall |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 725 Welch Rd, Palo Alto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952475279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A89820 (California) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | A89820 (California) | Primary |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
Entity Name | Lpch Medical Group Div Of Lucile |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Other Medical Care Group |
Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
Mailing Address | Practice Location Address |
---|---|
James Kennedy Wall, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 | James Kennedy Wall, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 |
Arden Marie Morris, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Palo Alto, CA 94304 Phone: 650-723-4000 | |
Shelley Marks, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-321-4121 | |
Kevin Ke Yang, MD Surgery Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Shelley Maithel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Palo Alto, CA 94304 Phone: 650-723-4000 | |
Helene Nepomuceno, Surgery Medicare: Medicare Enrolled Practice Location: 453 Quarry Rd Fl 4, Palo Alto, CA 94304 Phone: 510-565-4030 | |
Bonnie Erica Chow, MD Surgery Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Palo Alto, CA 94304 Phone: 650-723-4000 | |
Jonathan Ivan Sheu, MD Surgery Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 |