Active NPI
Patrick James Walsh, D.C.
- Chiropractor
- Rohnert Park, CA
National Provider Identifier
1508993437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16582
- Practice address
- 6020 Commerce Blvd
Suite 128
Rohnert Park, CA 94928-2179 - Phone
- (707) 584-5678
- Fax
- (707) 584-7020
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16582 | CA | Primary |
Addresses
Primary practice location
6020 Commerce Blvd
Suite 128
Rohnert Park, CA 94928-2179
Mailing address
6020 Commerce Blvd
Suite 128
Rohnert Park, CA 94928-2179
Phone (707) 584-5678
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16582 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Du Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Rohnert Park, CA
- NPI 1295690899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1508993437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 COMMERCE BLVD",
"address_2": "SUITE 128",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282179",
"telephone_number": "707-584-5678",
"fax_number": "707-584-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 COMMERCE BLVD",
"address_2": "SUITE 128",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282179",
"telephone_number": "707-584-5678",
"fax_number": "707-584-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "PATRICK",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "16582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.