Individual provider Active NPI

Brandie Rulfs Walton, PA-C

  • Physician Assistant
  • Fountain Valley, CA
National Provider Identifier
1396921573
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13255 Issued in CA
Practice address
9900 Talbert Ave Ste 301&302
Fountain Valley, CA 92708-5153
Phone
(714) 965-2500
Fax
(714) 965-2593
NPI assigned
Jan 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13255 CA Primary

Addresses

Primary practice location

9900 Talbert Ave Ste 301&302
Fountain Valley, CA 92708-5153

Mailing address

9900 Talbert Ave Ste 200
Fountain Valley, CA 92708-5153
Phone (714) 965-2500

Other practice location 1

20981 Magnolia St
Huntington Beach, CA 92646-6338
Phone (714) 965-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120214000642 CA Practitioner - Physician Assistant 6305004706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edinger Medical Group IncGroup PAC ID 6204863269, 15 clinicians

Practice addresses (Care Compare)

9900 Talbert Ave
Fountain Valley, CA 92708-5153
Phone 71496525002551

Hospital & facility affiliations

  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13255CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edinger Medical Group, Inc. PastSince Jul 22, 2025 Accepting new patients
Edinger Medical Group, Inc. Physician Assistant PastSince Oct 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brandie.waltonpa.p12@direct.nautilus.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1396921573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 TALBERT AVE STE 200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-965-2500",
            "fax_number": "714-965-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 TALBERT AVE STE 301&302",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-965-2500",
            "fax_number": "714-965-2593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20981 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926466338",
            "country_code": "US",
            "telephone_number": "714-965-2500",
            "fax_number": "714-965-2593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "BRANDIE",
        "middle_name": "RULFS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.