DR. CARL J WALKER (NPI# 1053301440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053301440 |
| Entity Type | Individual |
| Full Name | DR. CARL J WALKER |
| Credential | MD |
| Practice Address |
1820 Fullerton Ave #260 Corona CA 92881-3101 |
| Practice Telephone | 9517352700 |
| Practice Fax Number | 9512568255 |
| Mailing Telephone | 9517352700 |
| Mailing Fax Number | 9512568255 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2015-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | G74666 | CA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 01046851A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1053301440 | 01 |
| IN | 200152410 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922356633 | Carl S Walker IIi | Student in an Organized Health Care Education/Training Program | 8 Wilder St, Brockton, MA 02301-1529 | 2012-08-28 |
| 1942630579 | Carl Walker | Social Worker | 8258 Veterans Hwy, Suite 13, Millersville, MD 21108-1457 | 2013-11-18 |
| 1093866493 | Carl Kilpatrick Walker | Dentist | 521 Montgomery Hwy, Suite 125, Birmingham, AL 35216-1878 | 2007-01-15 |
| 1255442539 | Carl D Walker Jr. | Emergency Medicine | 1816 Industrial Blvd, Harvey, LA 70058-2314 | 2006-08-31 |
| Street Address |
1820 FULLERTON AVE #260 |
| City | CORONA |
| State | CA |
| Zip Code | 92881-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457741225 | Amanda Peterson | Chiropractor | 1820 Fullerton Ave, Ste 250, Corona, CA 92881 | 2015-01-30 |
| 1245556562 | Stuart Churchill Anderson | Dentist | 1820 Fullerton Ave, # 200, Corona, CA 92881-3160 | 2010-04-12 |
| 1275783805 | Christine Voeltner Sumpter | Counselor | 1820 Fullerton Ave, Suite 210, Corona, CA 92881-3160 | 2008-09-18 |
| 1649427139 | Fast Pharmacy Inc. | Pharmacy | 1820 Fullerton Ave, Suite 145, Corona, CA 92881-3160 | 2008-08-26 |
| 1952579872 | Daniel A Suhr | Physician Assistant | 1820 Fullerton Ave, Suite 340, Corona, CA 92881-3160 | 2008-02-13 |
| 1275701393 | Suzette Suk Fong Lee | Physician Assistant | 1820 Fullerton Ave, Suite 340, Corona, CA 92881-3160 | 2008-02-11 |
| 1417017492 | John Emil Kaiser | Surgery | 1820 Fullerton Ave, #120, Corona, CA 92881-3160 | 2006-12-11 |
| 1821179565 | Ester Cristobal Ardevela | Nurse Practitioner | 1820 Fullerton Ave, Suite 150, Corona, CA 92881-3160 | 2006-10-18 |
| 1083710289 | Sean Noorvash | Dentist | 1820 Fullerton Ave, #220, Corona, CA 92881 | 2006-09-15 |
| 1750301008 | Bruce Houman | Urology | 1820 Fullerton Ave, Suite 260, Corona, CA 92881-3175 | 2006-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1295753960 | Edward Jeku Yun | Urology | 801 S. Main St., Suite 201, Corona, CA 92882 | 2006-07-18 |
| 1689601536 | The Urology Center of Southern California | Urology | 801 South Main St., Suite 201, Corona, CA 92882 | 2006-06-27 |
| 1285627224 | Frank H Kim | Urology | 801 S Main St Ste 201, Corona, CA 92882-3410 | 2005-08-24 |
| 1558443614 | Eric L Shepard | Urology | 802 Magnolia Ave, Ste. 200, Corona, CA 92879-3104 | 2006-10-19 |
| 1750301008 | Bruce Houman | Urology | 1820 Fullerton Ave, Suite 260, Corona, CA 92881-3175 | 2006-07-20 |
| 1194743864 | Sy Tsi | Urology | 801 S. Main St., Suite 201, Corona, CA 92882 | 2006-07-18 |
| 1447296090 | Erin E Katz | Urology | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| 1366924615 | Se H Whang | Urology | 4 Charmony Apt Suite, Laguna Niguel, CA 92677-2900 | 2018-09-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.