Organization Active NPI

Walter E Yury, Inc

  • Basic Emergency Medical Technician
  • Anaheim, CA
National Provider Identifier
1649443334
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
207Q00000X Issued in CA
Legal business name
WALTER E YURY, INC
Practice address
1211 W la Palma Ave
Suite 409
Anaheim, CA 92801-2815
Phone
(714) 879-6009
Fax
(714) 879-6008
NPI assigned
Apr 2, 2008
Last updated
Apr 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Walter E. Yury, M.D.
Title
Physician
Phone
(714) 879-6009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 207Q00000X CA Primary

Addresses

Primary practice location

1211 W la Palma Ave
Suite 409
Anaheim, CA 92801-2815

Mailing address

1211 W la Palma Ave
Suite 409
Anaheim, CA 92801-2815
Phone (714) 879-6009

Other identifiers 1

IdentifierTypeStateIssuer
WC20769BOtherCAMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1649443334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "SUITE 409",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "714-879-6009",
            "fax_number": "714-879-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "SUITE 409",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "714-879-6009",
            "fax_number": "714-879-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER E YURY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "YURY",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "714-879-6009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "207Q00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "WC20769B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.