Organization Active NPI

Wal-Mart Associates, Inc

  • Health Service Clinic/Center
  • Carmichael, CA
National Provider Identifier
1083015481
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
64873 Issued in CA
Legal business name
WAL-MART ASSOCIATES, INC
Practice address
6005 Madison Ave
Carmichael, CA 95608-0521
Phone
(916) 534-1162
NPI assigned
Sep 4, 2014
Last updated
Oct 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Carla Brown
Title
Market Health Wellness Director
Phone
(479) 899-5685

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 64873 CA Primary
State or Local Public Health Clinic/Center 261QP0905X 64873 CA

Addresses

Primary practice location

6005 Madison Ave
Carmichael, CA 95608-0521

Mailing address

6005 Madison Ave
Carmichael, CA 95608-0521

National Provider Directory

National Provider Directory
Tax ID family
Walmart15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

6005 Madison Ave
Carmichael, CA 95608
Phone (916) 534-1162

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1083015481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 MADISON AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 MADISON AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080521",
            "telephone_number": "916-534-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-MART ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "MARKET HEALTH WELLNESS DIRECTOR",
        "authorized_official_telephone_number": "479-899-5685"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "64873",
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "CA",
            "license": "64873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.