Active NPI
Walton Chiropractic Center, a.P.C.
- Exclusive Provider Organization
- Santa Cruz, CA
National Provider Identifier
1639357494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 12302
- Legal business name
- WALTON CHIROPRACTIC CENTER, A.P.C.
- Practice address
- 3811 Portola Dr
Santa Cruz, CA 95062-5232 - Phone
- (831) 475-1600
- Fax
- (831) 475-1122
- NPI assigned
- Feb 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harry Walton, D.C.
- Title
- Officer
- Phone
- (831) 475-1600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 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 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1639357494",
"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": {
"organization_name": "WALTON CHIROPRACTIC CENTER, A.P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-04",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "WALTON",
"authorized_official_first_name": "HARRY",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "831-475-1600",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"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 Apr 20, 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.