Individual provider Active NPI

Andrew Walsh, NP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1699664318
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95035428 Issued in CA
Practice address
7011 Linda Vista Rd
San Diego, CA 92111-6307
Phone
(858) 279-0925
NPI assigned
Jun 30, 2025
Last updated
Aug 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95035428 CA
Family Nurse Practitioner 363LF0000X 95035428 CA Primary

Addresses

Primary practice location

7011 Linda Vista Rd
San Diego, CA 92111-6307

Mailing address

7011 Linda Vista Rd
San Diego, CA 92111-6307
Phone (858) 279-0925

Other practice location 1

41870 Garstin Dr
Big Bear Lake, CA 92315-2088
Phone (909) 866-6501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118004060 CA Practitioner - Nurse Practitioner 2860999851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Emergency MedicineGroup PAC ID 8325580707, 21 clinicians

Practice addresses (Care Compare)

41870 Garstin Dr
Big Bear Lake, CA 92315-2088
Phone (909) 866-6501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95035428CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1699664318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 LINDA VISTA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116307",
            "telephone_number": "858-279-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 LINDA VISTA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116307",
            "telephone_number": "858-279-0925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41870 Garstin Dr",
            "address_purpose": "LOCATION",
            "city": "Big Bear Lake",
            "state": "CA",
            "postal_code": "923152088",
            "country_code": "US",
            "telephone_number": "909-866-6501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ANDREW",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95035428",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95035428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.