Walsh Medical Group,a Professional Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WALSH MEDICAL GROUP,A PROFESSIONAL CORPORATION

Practice address

947 S Anaheim Blvd Ste 115
Anaheim, CA 92805-5582

Phone

(714) 533-7320

Fax

(714) 533-7321

NPI assigned

Apr 28, 2008

Last updated

Jul 20, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

WALSH MEDICAL GROUP, A PROFESSIONAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Lindsay Martinez

Title

Office Manager

Phone

(714) 502-1144

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Walsh Medical Groupa Professional Corporation2 organizations share this tax ID, including this one

Part of

Walsh Medical Groupa Professional Corporation

Other organizations with this tax ID 1

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

• Walsh Medical Group, a Professional Corporation

  • Point of Service
  • Anaheim, CA
  • NPI 1407021421
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia Villacorta Lavadia, M.D.

  • Specialist
  • Fullerton, CA
  • NPI 1659302230
  NPD (past)
• Nancy Magno Obena, M.D.

  • Pediatrics Physician
  • Anaheim, CA
  • NPI 1124296611
  NPD (past)

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1114192390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S ANAHEIM BLVD STE 115",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055582",
            "telephone_number": "714-533-7320",
            "fax_number": "714-533-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 S ANAHEIM BLVD STE 115",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055582",
            "telephone_number": "714-533-7320",
            "fax_number": "714-533-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSH MEDICAL GROUP,A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALSH MEDICAL GROUP, A PROFESSIONAL CORPORATION",
        "enumeration_date": "2008-04-28",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-502-1144"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "00A325660",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc. (WalMart Pharmacy 10-5640)
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• Walmart Inc. (WalMart Pharmacy 10-5639)
• Walmart, Inc. (Walmart pharmacy 10-3164)
• Walsh Medical Group, a Professional Corporation
• Brittany Marie Walsh, M.S. CF-SLP
• Christine Walsh
• Constance Maxine Walsh, L.C.S.W.
• Haley Walsh
• Walter E Yury, Inc

• Pediatrics Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.