Richard L. Walter, M.D., a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G31570 Issued in CA

Legal business name

RICHARD L. WALTER, M.D., A MEDICAL CORPORATION

Practice address

5525 Etiwanda Ave
Suite 318
Tarzana, CA 91356-3647

Phone

(818) 528-1270

Fax

(818) 528-1275

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Miss Paula Martinez

Title

Credentialing

Phone

(818) 908-8048

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard L. Walter, M.D.

  • Internal Medicine Physician
  • Tarzana, CA
  • NPI 1699731489
  NPD

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1629118906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18375 VENTURA BLVD",
            "address_2": "SUITE 614",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564218",
            "telephone_number": "818-908-8048",
            "fax_number": "818-908-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE",
            "address_2": "SUITE 318",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563647",
            "telephone_number": "818-528-1270",
            "fax_number": "818-528-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. WALTER, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "818-908-8048",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G31570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Patrick Rezzo, D.D.S.
• Elysse Rhodes
• Richard Alan Shapiro MD Inc
• Richard C Rosenberg M D Inc
• Richard C Rosenberg, MD, Inc
• Richard P Cain MD Inc
• Richard Rosenberg, MD, Inc
• Desiree Grace Rico
• Jovon Riggins
• Rillie Group

• Internal Medicine Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.