Walter Del Pinal, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 17791 Issued in CO

Practice address

2813 N Broadway
Los Angeles, CA 90031-2611

Phone

(323) 342-9764

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Raffi R. Minasian, M.D., a Medical Corporation

  • Nephrology Physician
  • Glendale, CA
  • NPI 1194827386
  NPD (past)
• Sevilla Medical Group Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1871757302
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1356451082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312611",
            "telephone_number": "323-342-9764",
            "fax_number": "181-752-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312611",
            "telephone_number": "323-342-9764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16907 Devonshire St",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913447407",
            "country_code": "US",
            "telephone_number": "818-402-0648",
            "fax_number": "181-752-0189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL PINAL",
        "first_name": "WALTER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA 17791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LIS",
            "identifier": "PA 17791",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa S. Del Cid
• Vincent Michael Del Duca, MD
• Oziel Clemente Del Fierro, L.V.N.
• Danielle Del Haro
• Kayla Del Hoyo
• Del Pueblo Medical Clinic
• Evelyn Del Real, OD
• Mayra Del Real, MSW
• Quetzal Del Real
• Del Refugio Healthcare Inc

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.