Active NPI
David H Walter, PHD
- Clinical Psychologist
- La Puente, CA
National Provider Identifier
1730175449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY8719
- Practice address
- 1840 N Hacienda Blvd
Suite 2
La Puente, CA 91744-1143 - Phone
- (626) 919-8493
- Fax
- (626) 918-5487
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY8719 | CA | Primary |
Addresses
Primary practice location
1840 N Hacienda Blvd
Suite 2
La Puente, CA 91744-1143
Mailing address
11728 Wilshire Blvd
Ste B-306
Los Angeles, CA 90025-6473
Phone (310) 479-2512
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY087191 | Medicaid | CA | |
| PSY087192 | Medicaid | CA |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101008000299 | CA | Practitioner - Clinical Psychologist | 2062604028 | Practice locations: Los Angeles, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11980 San Vicente Blvd
Suite 810
Los Angeles, CA 90049-9660
Phone (310) 479-2512
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8719 | CA | MD | Professional Counselor |
| PSY8719 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730175449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11728 WILSHIRE BLVD",
"address_2": "STE B-306",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256473",
"telephone_number": "310-479-2512",
"fax_number": "626-918-5487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 N HACIENDA BLVD",
"address_2": "SUITE 2",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917441143",
"telephone_number": "626-919-8493",
"fax_number": "626-918-5487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "DAVID",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY8719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY087191",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY087192",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.