Individual provider Active NPI

Barton Roy Wald, M.D.

  • Health Maintenance Organization
  • Arcadia, CA
National Provider Identifier
1598035628
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
G36871 Issued in CA
Practice address
440 E Huntington Dr
Suite 200, Second Floor
Arcadia, CA 91006-3776
Phone
(626) 254-8110
Fax
(626) 254-8230
NPI assigned
Jan 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X G36871 CA Primary

Addresses

Primary practice location

440 E Huntington Dr
Suite 200, Second Floor
Arcadia, CA 91006-3776

Mailing address

440 E Huntington Dr
Suite 200, Second Floor
Arcadia, CA 91006-3776
Phone (626) 254-8110

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G36871CAMDHealth Maintenance Organization

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1598035628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E HUNTINGTON DR",
            "address_2": "SUITE 200, SECOND FLOOR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063776",
            "telephone_number": "626-254-8110",
            "fax_number": "626-254-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E HUNTINGTON DR",
            "address_2": "SUITE 200, SECOND FLOOR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063776",
            "telephone_number": "626-254-8110",
            "fax_number": "626-254-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALD",
        "first_name": "BARTON",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "G36871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.