Walter Anthony Parker III

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

15169 Wild Wind PT # 92392
Victorville, CA 92394-5558

Phone

(424) 200-0049

NPI assigned

Aug 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1083260723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15169 WILD WIND PT # 92392",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923945558",
            "telephone_number": "424-200-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15169 WILD WIND PT # 92392",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923945558",
            "telephone_number": "424-200-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "WALTER",
        "middle_name": "ANTHONY",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Park, M.D.
• Sook Ja Park, FNP-BC, ANP-BC
• Kimberly Coraline Parker
• Regina Felicia Parker, CPT1
• Sandra Ann Parker, GUARDIAN
• Vikram S Parmar, MD
• Denise Maria Parra
• Karina Parris
• Kristin Parris
• Jennifer Alejandra Partida

• Behavior Technician in Victorville, CA
• Providers in Victorville, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.