Individual provider Active NPI

John W. T. Walker, M.D

  • Plastic Surgery Physician
  • Lawndale, CA
National Provider Identifier
1033305602
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A92111 Issued in CA
Practice address
14623 Hawthorne Blvd Ste 104
Lawndale, CA 90260-1500
Phone
(424) 675-4965
Fax
(424) 675-4147
NPI assigned
Sep 18, 2007
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A92111 CA
Plastic Surgery Physician 208200000X A92111 CA Primary

Addresses

Primary practice location

14623 Hawthorne Blvd Ste 104
Lawndale, CA 90260-1500

Mailing address

14623 Hawthorne Blvd Ste 104
Lawndale, CA 90260-1500
Phone (424) 675-4965

Other practice location 1

16400 Pacific Coast Hwy Ste 220
Huntington Beach, CA 92649-1823
Phone (714) 253-3552

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
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Best Plastic Surgery Practice Inc Plastic Surgery CurrentSince Aug 3, 2025 Accepting new patients
Pacifica Primary Care Medical Group, Inc. Family Medicine PastSince Jun 1, 2025 Accepting new patients

Locations

14623 Hawthorne Blvd
Ste 104
Lawndale, CA 90260
Phone (310) 675-8233

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1033305602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14623 HAWTHORNE BLVD STE 104",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601500",
            "telephone_number": "424-675-4965",
            "fax_number": "424-675-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14623 HAWTHORNE BLVD STE 104",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601500",
            "telephone_number": "424-675-4965",
            "fax_number": "424-675-4147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16400 Pacific Coast Hwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926491823",
            "country_code": "US",
            "telephone_number": "714-253-3552",
            "fax_number": "714-948-5720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOHN",
        "middle_name": "W. T.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A92111",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A92111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.