Walter K Nahm MD PHD Inc

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

A78569 Issued in CA

Legal business name

WALTER K NAHM MD PHD INC

Practice address

7695 Cardinal CT
Ste 200
San Diego, CA 92123-3357

Phone

(858) 278-8835

Fax

(858) 386-4776

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

James Dabbs Jr.

Title

Office Manager

Phone

(858) 278-8835

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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

Interoperability endpoints

• Direct secure messaging: wnahm@udg.emadirect.md

Practitioners 7

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

• James Michael Mason, MD

  • Radiation Oncology Physician
  • Wildomar, CA
  • NPI 1902955818
  Medicare reassignment NPD
• Walter K Nahm, M.D., PHD.

  • Dermatology Physician
  • San Diego, CA
  • NPI 1467447284
  Medicare reassignment NPD
• Brian B Ronson, MD

  • Radiation Oncology Physician
  • Temecula, CA
  • NPI 1750364493
  Medicare reassignment NPD
• Siavosh Vakilian, MD

  • Radiation Oncology Physician
  • San Diego, CA
  • NPI 1427456151
  Medicare reassignment NPD
• Tara A Washington, MD

  • Radiation Oncology Physician
  • Temecula, CA
  • NPI 1780621276
  Medicare reassignment NPD
• Mia Gatti

  • Physician Assistant
  • Newport Beach, CA
  • NPI 1275944654
  Medicare reassignment
• David Erik Greene, M.D.

  • Radiation Oncology Physician
  • Salinas, CA
  • NPI 1285600403
  Medicare reassignment

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1720110968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT",
            "address_2": "STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-278-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT",
            "address_2": "STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-278-8835",
            "fax_number": "858-386-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER K NAHM MD PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "DABBS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-278-8835",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A78569",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A78569",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A78569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Wnahm@udg.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7695 Cardinal Ct",
            "address_2": "STE 200",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921233357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolyn Jane Walstein, BSW
• Walter Alain Thomas, M.D.
• Walter Cohen Osteopathy Corporation
• Tiera Walter Foster
• Walter Jolley DPM a Professional Corporation
• Amy Christine Walter Sparks, PHD
• Walter W Strauser, MD, Inc
• Trinity Diamond Walter-Martin
• Angela Walter, RBT
• Annisha Lael Walter, LMFT

• MOHS-Micrographic Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.