Individual provider Active NPI

Walter John Joseph III, M.D.

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1144608837
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A171416 Issued in CA
Practice address
9735 Wilshire Blvd PH
Beverly Hills, CA 90212-2104
Phone
(310) 860-8915
NPI assigned
May 13, 2015
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A171416 CA Primary

Addresses

Primary practice location

9735 Wilshire Blvd PH
Beverly Hills, CA 90212-2104

Mailing address

9735 Wilshire Blvd PH
Beverly Hills, CA 90212-2104
Phone (310) 860-8915

Other practice location 1

333 S Arroyo Pkwy Fl 3
Pasadena, CA 91105-2581
Phone (626) 537-3737

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A171416CAMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1144608837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD PH",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122104",
            "telephone_number": "310-860-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD PH",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122104",
            "telephone_number": "310-860-8915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 S Arroyo Pkwy Fl 3",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052581",
            "country_code": "US",
            "telephone_number": "626-537-3737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "WALTER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A171416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.