Individual provider Active NPI

Roger N Walsh, M.D., PH.D.

  • Psychiatry Physician
  • Irvine, CA
National Provider Identifier
1346437159
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A25870 Issued in CA
Practice address
University of California Medical School
Department of Psychiatry
Irvine, CA 92697-1675
Phone
(949) 824-6604
Fax
(866) 792-5306
NPI assigned
Sep 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A25870 CA Primary

Addresses

Primary practice location

University of California Medical School
Department of Psychiatry
Irvine, CA 92697-1675

Mailing address

University of California Medical School
Department of Psychiatry
Irvine, CA 92697-1675
Phone (949) 824-6604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A25870CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1346437159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CALIFORNIA MEDICAL SCHOOL",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926971675",
            "telephone_number": "949-824-6604",
            "fax_number": "866-792-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CALIFORNIA MEDICAL SCHOOL",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926971675",
            "telephone_number": "949-824-6604",
            "fax_number": "866-792-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ROGER",
        "middle_name": "N",
        "name_prefix": "Prof.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A25870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.