Active NPI
Robert William Walsh, D.C.
- Sports Physician Chiropractor
- Pleasanton, CA
National Provider Identifier
1003032459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC24240
- Practice address
- 5480 Sunol Blvd Ste 3
Pleasanton, CA 94566-7762 - Phone
- (925) 485-4534
- Fax
- (925) 846-2264
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC24240 | CA | Primary |
Addresses
Primary practice location
5480 Sunol Blvd Ste 3
Pleasanton, CA 94566-7762
Mailing address
5480 Sunol Blvd Ste 3
Pleasanton, CA 94566-7762
Phone (925) 485-4534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC24240 | CA | MD | Sports Physician Chiropractor |
| 24240 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003032459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5480 SUNOL BLVD STE 3",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945667762",
"telephone_number": "925-485-4534",
"fax_number": "925-846-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 SUNOL BLVD STE 3",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945667762",
"telephone_number": "925-485-4534",
"fax_number": "925-846-2264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC24240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.