Walter C. Prehn M.D. a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G25454 Issued in CA

Legal business name

WALTER C. PREHN M.D. A PROFESSIONAL CORPORATION

Practice address

181 Andrieux St
Suite 206
Sonoma, CA 95476-6920

Phone

(707) 495-7762

Fax

(707) 938-7337

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Walter Craig Prehn, M.D.NPI 1225042088

Title

President

Phone

(707) 495-7762

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Walter C Prehn, MD

  • Internal Medicine Physician
  • Sonoma, CA
  • NPI 1225042088
  NPD Authorized official
• Jennifer Lilian Karns, DC

  • Chiropractor
  • Sonoma, CA
  • NPI 1265550032
  NPD (past)

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1306143169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 ANDRIEUX ST",
            "address_2": "SUITE 206",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766920",
            "telephone_number": "707-495-7762",
            "fax_number": "707-938-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 ANDRIEUX ST",
            "address_2": "SUITE 206",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766920",
            "telephone_number": "707-495-7762",
            "fax_number": "707-938-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER C. PREHN M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "PREHN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-495-7762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G25454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G254540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Kenneth Vaux, MD
• Dennis James Verducci, MD
• Robin Lynn Viratos, PTA
• Phylis Jane Wakefield, PH.D.
• Katherine E Walker, MD
• Christopher A Walter, D.O.
• Kristie Kesel Walthard, M.A.
• Amanda Rose Wanag, ASW
• Phuntsok Wangyal
• Susan Eleanor Warnock-Brooks, MFT AND LEP

• Internal Medicine Physician in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.