Individual provider Active NPI

Walter Ludwig Holz Jr., MD

  • Internal Medicine Physician
  • Carmel, CA
National Provider Identifier
1255443495
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C31983 Issued in CA
Practice address
22615 Carmel Center Place
Suite 103
Carmel, CA 93923-0000
Phone
(831) 624-1864
Fax
(831) 624-4327
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C31983 CA Primary

Addresses

Primary practice location

22615 Carmel Center Place
Suite 103
Carmel, CA 93923-0000

Mailing address

22615 Carmel Center Place
Suite 103
Carmel, CA 93923-0000
Phone (831) 624-1864

Other identifiers 1

IdentifierTypeStateIssuer
00C319830MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1255443495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22615 CARMEL CENTER PLACE",
            "address_2": "SUITE 103",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939230000",
            "telephone_number": "831-624-1864",
            "fax_number": "831-624-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22615 CARMEL CENTER PLACE",
            "address_2": "SUITE 103",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939230000",
            "telephone_number": "831-624-1864",
            "fax_number": "831-624-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZ",
        "first_name": "WALTER",
        "middle_name": "LUDWIG",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C31983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C319830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.