Healthcare Provider Details

I. General information

NPI: 1942134069
Provider Name (Legal Business Name): WALKER ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 KUMQUAT PL
OXNARD CA
93036-6220
US

IV. Provider business mailing address

1310 KUMQUAT PL
OXNARD CA
93036-6220
US

V. Phone/Fax

Practice location:
  • Phone: 805-844-1986
  • Fax: 805-844-1986
Mailing address:
  • Phone: 805-844-1986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: KENISHA WALKER
Title or Position: CMO
Credential: DIRECT SUPPORT
Phone: 805-844-1986