Organization Active NPI

Walton Chiropractic Center, a.P.C.

  • Exclusive Provider Organization
  • Santa Cruz, CA
National Provider Identifier
1639357494
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
12302 Issued in CA
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZZ56437ZOtherCABLUE SHIELD PROVIDER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.