MARY WALTON (NPI# 1548760606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548760606 |
Entity Type | Individual |
Full Name | MARY WALTON |
Credential | WHNP-BC |
Practice Address |
1578 Colorado Blvd Ste B Los Angeles CA 90041-1451 |
Mailing Address |
2214 Elsinore St Los Angeles CA 90026-3016 |
Practice Telephone | 6267980706 |
Enumeration Date | 2018-02-15 |
Last Update Date | 2018-02-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
95008617 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285253443 | Mary Jean Walton | Marriage & Family Therapist | 400 Llewellyn Ave, Campbell, CA 95008-1967 | 2020-04-08 |
1235349580 | Mary Katherine Walton | Internal Medicine | 820 Jordan St Ste 201, Shreveport, LA 71101-4518 | 2007-05-23 |
1629034723 | Mary Burgess Walton | Nurse Practitioner | 2020 16th St, Greeley, CO 80631-5158 | 2006-04-26 |
1811512668 | Mary Jane Walton | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2020-06-08 |
1225679954 | Mary Walton | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2019-10-03 |
1336665959 | Mary Elizabeth Walton | Dietitian, Registered | 4011 Talbot Rd S, Renton, WA 98055-5773 | 2017-08-15 |
1336689033 | Mary A Walton | Case Manager/Care Coordinator | 551 N 28th West Ave, Tulsa, OK 74127-6139 | 2017-02-28 |
1518144203 | Mary R Walton | Physician Assistant | 33 College Hill Road, 29c, Warwick, RI 02886 | 2008-01-25 |
1033287438 | Mary Elizabeth Walton | Registered Nurse | 1425 Beavercreek Rd, Oregon City, OR 97045-4076 | 2006-12-01 |
1548356587 | Mary Denise Walton | Marriage & Family Therapist | 17822 Beach Blvd Ste 278, Huntington Beach, CA 92647-7180 | 2006-10-05 |
Street Address |
1578 COLORADO BLVD STE B |
City | LOS ANGELES |
State | CA |
Zip Code | 90041-1451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457994501 | Josephine Villanueva | Technician | 4433 Eagle Rock Blvd. #113, Los Angeles, CA 90041 | 2019-10-22 |
1457862484 | Maria Susana Espino Gonzales | Physiological Laboratory | 5264 Lockhaven Ave, Los Angeles, CA 90041 | 2017-10-17 |
1407366602 | Tuan H Phan | Pharmacist | 4414 Yolk Boulevard, Los Angeles, CA 90041 | 2017-10-03 |
1194195164 | College Vista, LLC | Skilled Nursing Facility | 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 | 2015-10-02 |
1346640026 | Angelynn Hermes | Social Worker | 850 Colorado Blvd Ste 102, Los Angeles, CA 90041 | 2014-08-29 |
1205181179 | Michael E Ignacio | Dentist | 1916 W. Colorado, Los Angeles, CA 90041 | 2012-07-17 |
1093074999 | Marilyn Henry Murphy | Psychologist | 4368 Eagle Rock Boulevard, Los Angeles, CA 90041 | 2012-05-11 |
1235434911 | Mohammad Khaknegar | Dentist | 2455 Colorado Blvd., #16, Los Angeles, CA 90041 | 2011-01-11 |
1174844088 | Ileana Escobedo | Marriage & Family Therapist | 1551 Waldran Ave, Los Angeles, CA 90041 | 2010-06-15 |
1649404963 | Metro Healthcare Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 4515 Eagle Rock Blvd., Ste 111-c, Los Angeles, CA 90041 | 2009-05-14 |
Find all providers in zip 90041 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013459981 | Scarlett Vanessa Grandy | Nurse Practitioner | 1513 S Grand Ave Ste 220, Los Angeles, CA 90015-3075 | 2016-11-09 |
1437609534 | Melissa Wilhelm | Nurse Practitioner | 8631 W 3rd St Ste 510, Los Angeles, CA 90048 | 2016-10-12 |
1710261177 | Julia Reger | Nurse Practitioner | 554 N Plymouth Blvd, Los Angeles, CA 90004-1411 | 2011-10-04 |
1992083877 | Talya Waldman | Nurse Practitioner | 8631 W Third Street, Suite 740 East, Los Angeles, CA 90048 | 2011-07-27 |
1548568728 | Marion M Mayer | Nurse Practitioner | 9911 West Pico Blvd Suite 500, Los Angeles, CA 90035 | 2011-03-11 |
1962664136 | Judy B Wittenberg Bravard | Nurse Practitioner | 11101 Venice Blvd, Los Angeles, CA 90034-6914 | 2008-06-30 |
1205024171 | Virginia Villegas | Nurse Practitioner | 4156 S Central Ave, Los Angeles, CA 90011-3154 | 2007-10-04 |
1003037466 | Antoinette Zaragoza | Nurse Practitioner | 245 S. Fetterly Ave, Roybal Comprehensive Chc, Los Angeles, CA 90022-0000 | 2007-05-02 |
1346306917 | Cherokee Lynette Lavalley | Nurse Practitioner | 10024 S Vermont Ave, Los Angeles, CA 90044-3112 | 2006-12-28 |
1235213901 | Raisa Howard | Nurse Practitioner | 12304 Santa Monica Blvd., Ste # 208, Los Angeles, CA 90025 | 2006-10-25 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90041 |
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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.