Dan G. Walters, M.D. a Medical Corporation

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G39049 Issued in CA

Legal business name

DAN G. WALTERS, M.D. A MEDICAL CORPORATION

Practice address

77564 Country Club Dr
Suite 408
Palm Desert, CA 92211-0484

Phone

(760) 898-2968

Fax

(760) 345-3888

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dan G Walters, M.D.

Title

President

Phone

(760) 327-8405

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicolle S Walters, PHD

  • Clinical Psychologist
  • Palm Desert, CA
  • NPI 1881752558
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1255495446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR",
            "address_2": "SUITE 408",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110484",
            "telephone_number": "760-898-2968",
            "fax_number": "760-345-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR",
            "address_2": "SUITE 408",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110484",
            "telephone_number": "760-898-2968",
            "fax_number": "760-345-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN G. WALTERS, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-327-8405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G39049",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "G39049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cutting Edge Orthopedics Inc
• Cutting Edge Orthopedics, Inc.
• Cynthia Stava Counseling Inc.
• Kaitlyn Kimberly Daily, FNP-C
• Kathleen Dale, LMFT
• Harvey Danciger, DPM
• Vy Dang
• Daniel J Fitzgerald III, M.D.
• Daniel J. Fitzgerald, III, M.D., Prof. Corp
• Maurice Daoud, D.C.

• Pulmonary Disease Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.