Mysheva Walls

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

95190979 Issued in CA

Practice address

5366 Leroy St
San Bernardino, CA 92404-1143

Phone

(310) 272-0248

NPI assigned

Oct 8, 2025

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1346115599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5366 LEROY ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924041143",
            "telephone_number": "310-272-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5366 LEROY ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924041143",
            "telephone_number": "310-272-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "MYSHEVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "95190979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Montes Wallace
• Serena A Wallace, DPT
• Susan O'Brien Wallace, PSY. D.
• Christa Ann Wallis, LMFT
• Antonia Walls
• Walmart Inc.
• Walmart Pharmacy
• Eugene Walper
• Zarah Walter
• Ian Walters, MD, MA

• Home Health Registered Nurse in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.