David Wallsom

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2011 Little Orchard St
San Jose, CA 95125-1031

Phone

(408) 294-2100

NPI assigned

Jul 26, 2016

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1164975140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 LITTLE ORCHARD ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951251031",
            "telephone_number": "408-294-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 LITTLE ORCHARD ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951251031",
            "telephone_number": "408-294-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLSOM",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawni Wallace, AU.D.
• Tara-Ann Joy Waller, AU.D.
• Becky L Wallin, MD
• Julie Mae Wallingford, M.ED., BCBA
• Lydia Anna Walls
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.

• Counselor in San Jose, CA
• Providers in San Jose, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.