Walking Shield, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

WALKING SHIELD, INC.

Practice address

3100 Airway Ave Ste 118
Costa Mesa, CA 92626-4604

Phone

(657) 900-2197

Fax

(657) 900-2196

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. John Castillo, PH.D.

Title

Executive Director

Phone

(657) 900-2197

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1295566156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 AIRWAY AVE STE 118",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264604",
            "telephone_number": "657-900-2197",
            "fax_number": "657-900-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 AIRWAY AVE STE 118",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264604",
            "telephone_number": "657-900-2197",
            "fax_number": "657-900-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKING SHIELD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "657-900-2197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Sue Wald, O.D.
• Natalie Waldman, MS-CCC, SLP
• Walgreen Co (Walgreens #11652)
• Michelle Walker
• Olivia Charlotte Walker
• Taylor Wall
• Carlee Walsh, PSY.D.
• William Michael Walsh, DC
• Allexandra Walters, DC
• Johanna Christine Walthall, PH.D.

• Voluntary or Charitable Agency in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.