Active NPI
Desiree Louise Spencer-Walters
- Registered Nurse
- Valencia, CA
National Provider Identifier
1124667167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 651028
- Practice address
- 23845 McBean Pkwy
Valencia, CA 91355-2001 - Phone
- (661) 200-1083
- Fax
- (661) 200-1076
- NPI assigned
- Dec 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 651028 | CA | Primary |
Addresses
Primary practice location
23845 McBean Pkwy
Valencia, CA 91355-2001
Mailing address
19533 Ellis Henry CT
Newhall, CA 91321-2152
Phone (661) 414-5269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 651028 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576886400000",
"number": "1124667167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19533 ELLIS HENRY CT",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913212152",
"telephone_number": "661-414-5269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23845 MCBEAN PKWY",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913552001",
"telephone_number": "661-200-1083",
"fax_number": "661-200-1076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER-WALTERS",
"first_name": "DESIREE",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-21",
"last_updated": "2019-12-21",
"certification_date": "2019-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "651028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.