Active NPI
Harry Walton, D.C.
- Chiropractor
- Santa Cruz, CA
National Provider Identifier
1639235492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12302
- Practice address
- 3811 Portola Dr
Santa Cruz, CA 95062-5232 - Phone
- (831) 475-1600
- Fax
- (831) 475-1122
- NPI assigned
- Dec 28, 2006
- Last updated
- Feb 4, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 12302 | CA | Primary |
Addresses
Primary practice location
3811 Portola Dr
Santa Cruz, CA 95062-5232
Mailing address
3811 Portola Dr
Santa Cruz, CA 95062-5232
Phone (831) 475-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ56437Z | Other | CA | BLUE SHIELD PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080325000521 | CA | Practitioner - Chiropractic | 9830275270 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1978
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3811 Portola Dr
Santa Cruz, CA 95062-5232
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12302 | CA | MD | Addiction (Substance Use Disorder) Counselor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Exclusive Provider Organization
- Santa Cruz, CA
- NPI 1639357494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1639235492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3811 PORTOLA DR",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950625232",
"telephone_number": "831-475-1600",
"fax_number": "831-475-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 PORTOLA DR",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950625232",
"telephone_number": "831-475-1600",
"fax_number": "831-475-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "HARRY",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "12302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER",
"identifier": "ZZZ56437Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.