Organization Active NPI

Norman Wall D.O. Inc.

  • General Practice Physician
  • Temecula, CA
National Provider Identifier
1073979340
Registry record updated Jan 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A7180 Issued in CA
Legal business name
NORMAN WALL D.O. INC.
Practice address
40552 Chantilly Cir
Temecula, CA 92591-6967
Phone
(707) 888-6155
NPI assigned
Jan 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2016

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

Authorized official

Name
Norman Wall, D.O.NPI 1861416661
Title
President
Phone
(797) 888-6155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 20A7180 CA Primary

Addresses

Primary practice location

40552 Chantilly Cir
Temecula, CA 92591-6967

Mailing address

40552 Chantilly Cir
Temecula, CA 92591-6967
Phone (707) 888-6155

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451692800000",
    "number": "1073979340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40552 CHANTILLY CIR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916967",
            "telephone_number": "707-888-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40552 CHANTILLY CIR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916967",
            "telephone_number": "707-888-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN WALL D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-02",
        "last_updated": "2016-01-02",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "797-888-6155",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A7180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2016; 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.