Walls Phlebotomy

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

WALLS PHLEBOTOMY

Practice address

210 Estates Dr Ste 200
Roseville, CA 95678-2300

Phone

(916) 741-2944

Fax

(559) 478-2706

NPI assigned

Jan 5, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Paredes, CPT 1

Title

Lead Phlebotomist

Phone

(916) 741-2944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725667200000",
    "number": "1053024976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 PLACER WEST DR APT 509",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774614",
            "telephone_number": "916-741-2944",
            "fax_number": "559-478-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ESTATES DR STE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782300",
            "telephone_number": "916-741-2944",
            "fax_number": "559-478-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLS PHLEBOTOMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "LEAD PHLEBOTOMIST",
        "authorized_official_telephone_number": "916-741-2944",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPT 1"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Walker, N.P.
• Vanessa Jane Walker, DO
• Craig J. Wall, DO
• Ann Wallace, RD, CDCES
• James Doran Wallace, P.A.,D.C
• Walmart Inc.
• Walmart Inc.
• Walmart Stores, Inc.
• Walmart, Inc.
• Jeanine Lynn Walter Misirli, M.D.

• Phlebotomy Technician in Roseville, CA
• Providers in Roseville, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.