Walter C Roberts MD a Professional Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G27442 Issued in CA

Legal business name

WALTER C ROBERTS MD A PROFESSIONAL CORPORATION

Practice address

1510 S Central Ave Ste 100
Glendale, CA 91204-2582

Phone

(213) 483-2416

Fax

(213) 483-8211

NPI assigned

Jan 27, 2012

Last updated

Jun 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Walter Curtis Roberts, M.D.NPI 1811985120

Title

President

Phone

(213) 483-2416

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter C Roberts, MD

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1811985120
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1437421195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042582",
            "telephone_number": "213-483-2416",
            "fax_number": "213-483-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042582",
            "telephone_number": "213-483-2416",
            "fax_number": "213-483-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER C ROBERTS MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-483-2416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G27442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Walker
• Brecka Walker
• Morgan Walker, MD
• Shawna Walker
• James Ira Wallstrom, MD
• Wanes Barsemian MD Inc
• Amy Qiu Wang, MD
• Jue Judy Wang, PT, DPT, PCS
• Michael Yu Wang, PA-C
• Tao Wang, DPT, L.AC.

• Ophthalmology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.