Individual provider Active NPI

Randy Walburger

  • Mental Health Counselor
  • Santa Monica, CA
National Provider Identifier
1346799228
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1930 Stewart St.
X12
Santa Monica, CA 90404-4966
Phone
(310) 828-9328
Fax
(310) 828-9328
NPI assigned
Oct 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CA Primary

Addresses

Primary practice location

1930 Stewart St.
X12
Santa Monica, CA 90404-4966

Mailing address

1930 Stewart St
X12
Santa Monica, CA 90404-4944
Phone (310) 828-9328

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

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1346799228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 STEWART ST",
            "address_2": "X12",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044944",
            "telephone_number": "310-828-9328",
            "fax_number": "310-828-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 STEWART ST.",
            "address_2": "X12",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044966",
            "telephone_number": "310-828-9328",
            "fax_number": "310-828-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALBURGER",
        "first_name": "RANDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.