Provider Demographics
NPI:1366525586
Name:CLAYTON, WILLIAM TOUCHSTONE (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:TOUCHSTONE
Last Name:CLAYTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:WEATHERFORD
Other - Middle Name:TOUCHSTONE
Other - Last Name:CLAYTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:351 HOSPITAL ROAD
Mailing Address - Street 2:#207
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663
Mailing Address - Country:US
Mailing Address - Phone:949-646-2800
Mailing Address - Fax:949-646-8147
Practice Address - Street 1:351 HOSPITAL ROAD
Practice Address - Street 2:#207
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663
Practice Address - Country:US
Practice Address - Phone:949-646-2800
Practice Address - Fax:949-646-8147
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG048202207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G482021Medicaid
B57877Medicare UPIN
CA00G482021Medicaid