NPIMap

Organization Active NPI

John R. Munro M.D.

Doing business as Anderson Walk-In Medical Clinic

  • Family Medicine Physician
  • Anderson, CA
National Provider Identifier
1568644755
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A19491 Issued in CA
Legal business name
JOHN R. MUNRO M.D.
Doing business as
Anderson Walk-In Medical Clinic
Practice address
2760 Balls Ferry Rd
Anderson, CA 96007-3537
Phone
(530) 365-4412
Fax
(530) 365-5186
NPI assigned
Nov 29, 2007
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mrs. Elizabeth Ann Wallers
Title
Administrator
Phone
(530) 365-4412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A19491 CA Primary

Addresses

Primary practice location

2760 Balls Ferry Rd
Anderson, CA 96007-3537

Mailing address

2760 Balls Ferry Rd
Anderson, CA 96007-3537
Phone (530) 365-4412

Other names 1

  • Anderson Walk-In Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1568644755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 BALLS FERRY RD",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073537",
            "telephone_number": "530-365-4412",
            "fax_number": "530-365-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 BALLS FERRY RD",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073537",
            "telephone_number": "530-365-4412",
            "fax_number": "530-365-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. MUNRO M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "WALLERS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-365-4412",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A19491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Walk-In Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.