John W Wall, D.P.M. Apc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E-1369 Issued in CA

Legal business name

JOHN W WALL, D.P.M. APC

Practice address

1411 W Olive Ave
Suite C
Burbank, CA 91506-2427

Phone

(818) 846-4122

Fax

(818) 848-8634

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John W Wall, D.P.M.

Title

Podiatrist/President

Phone

(818) 846-4122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1346294543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W OLIVE AVE",
            "address_2": "SUITE C",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062427",
            "telephone_number": "818-846-4122",
            "fax_number": "818-848-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W OLIVE AVE",
            "address_2": "SUITE C",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062427",
            "telephone_number": "818-846-4122",
            "fax_number": "818-848-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W WALL, D.P.M. APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PODIATRIST/PRESIDENT",
        "authorized_official_telephone_number": "818-846-4122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E-1369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Burbank, CA
• Providers in Burbank, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.