Organization Active NPI

David a Walden MD Inc

  • Otolaryngology Physician
  • Newport Beach, CA
National Provider Identifier
1053491142
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G27498 Issued in CA
Legal business name
DAVID A WALDEN MD INC
Practice address
320 Superior Ave Ste 380
Newport Beach, CA 92663-2793
Phone
(949) 645-1255
NPI assigned
Oct 16, 2006
Last updated
Nov 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
David Albert Walden, MD
Title
Owner/Physician
Phone
(949) 645-1255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G27498 CA Primary

Addresses

Primary practice location

320 Superior Ave Ste 380
Newport Beach, CA 92663-2793

Mailing address

320 Superior Ave Ste 380
Newport Beach, CA 92663-2793
Phone (949) 645-1255

National Provider Directory

National Provider Directory

Locations

320 Superior Ave
Ste 380
Newport Beach, CA 92663
Phone (949) 645-1255

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1053491142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 380",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632793",
            "telephone_number": "949-645-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 380",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632793",
            "telephone_number": "949-645-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A WALDEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "949-645-1255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G27498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.