Walter F Kerwin MD a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G75336 Issued in CA

Legal business name

WALTER F KERWIN MD A MEDICAL CORPORATION

Practice address

8631 W 3Rd St
Suite 1017
Los Angeles, CA 90048-5901

Phone

(310) 289-0141

Fax

(310) 289-0144

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Walter F Kerwin, MDNPI 1457397556

Title

MD

Phone

(310) 289-0141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter F Kerwin, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Coos Bay, OR
  • NPI 1457397556

  CA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1710001193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 1017",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-289-0141",
            "fax_number": "310-289-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 1017",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-289-0141",
            "fax_number": "310-289-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER F KERWIN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "KERWIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "310-289-0141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G75336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walt Jay Medical Corporation
• Walt Jay Medical Corporation
• Walt Jay Medical Corporation
• Pamela Walt
• Walter & Bonnie Brown Veteran Services
• Walter Jayasinghe MD Apac
• Walter Jayasinghe MD Apc
• Walter Jayasinghe MD Apc
• Walter Jayasinghe MD Apc
• Walter Jayasinghe MD Apc

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.

Verify at the official NPI Registry.