=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578149472
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PEYTON CARTER MORSS-WALTON MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/22/2021
-----------------------------------------------------
Last Update Date | 09/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 450 SUTTER ST RM 830
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94108-3915
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-393-9550
-----------------------------------------------------
Fax | 415-393-9556
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 450 SUTTER ST RM 830
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94108-3915
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-393-9550
-----------------------------------------------------
Fax | 415-393-9556
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207N00000X
-----------------------------------------------------
Taxonomy Name | Dermatology Physician
-----------------------------------------------------
License Number | A201948
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------