Individual provider Active NPI

Walker Walter Scott, D.C.,LAC

  • Chiropractor
  • Chula Vista, CA
National Provider Identifier
1013215102
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31910 Issued in CA
Practice address
821 Kuhn Dr Ste 101
Chula Vista, CA 91914-4508
Phone
(619) 796-6472
Fax
(619) 342-7577
NPI assigned
Mar 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC18771 CA
Chiropractor 111N00000X 31910 CA Primary

Addresses

Primary practice location

821 Kuhn Dr Ste 101
Chula Vista, CA 91914-4508

Mailing address

821 Kuhn Dr Ste 101
Chula Vista, CA 91914-4508
Phone (619) 796-6472

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

LicenseStateTypeSpecialty
AC18771CAMDAcupuncturist
31910CAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1013215102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 KUHN DR STE 101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144508",
            "telephone_number": "619-796-6472",
            "fax_number": "619-342-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 KUHN DR STE 101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144508",
            "telephone_number": "619-796-6472",
            "fax_number": "619-342-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WALKER",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.C.,LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18771",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.