Walter Konstanzer, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C27500 Issued in CA

Practice address

6690 Caminito Hermitage
La Jolla, CA 92037-5812

Phone

(619) 223-2161

NPI assigned

Jun 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639105265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9021",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920389021",
            "telephone_number": "619-223-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6690 CAMINITO HERMITAGE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375812",
            "telephone_number": "619-223-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTANZER",
        "first_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C27500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asako Komiya, NP
• Neke Konig, PHARMD
• Gauree Gupta Konijeti, MD, MPH
• Ramdev Konijeti, M.D.
• Kara Emi Kono, DO
• Judith Ann Koperski, M.D.
• Kimberly D Koppenbrink, M.D.
• Bobby S. Korn, M.D.
• Jason R. Kornberg, M.D.
• Adva Kornblit, M.D.

• General Practice Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.