Individual provider Active NPI

Juan N Walterspiel, MD, FAAP

  • Medical Specialty Clinic/Center
  • Belmont, CA
National Provider Identifier
1730458787
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
C52365 Issued in CA
Practice address
2311 Wooster Ave
Belmont, CA 94002-1549
Phone
(678) 910-3609
NPI assigned
Dec 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X C52365 CA Primary

Addresses

Primary practice location

2311 Wooster Ave
Belmont, CA 94002-1549

Mailing address

2311 Wooster Ave
Belmont, CA 94002-1549
Phone (678) 910-3609

Other names 1

  • Prof. Juan N Walterspiel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C52365CAMDMedical Specialty Clinic/Center

Interoperability endpoints

  • Direct secure messaging: jwalterspiel578953@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1730458787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 WOOSTER AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940021549",
            "telephone_number": "678-910-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 WOOSTER AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940021549",
            "telephone_number": "678-910-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERSPIEL",
        "first_name": "JUAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD, FAAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "C52365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "WALTERSPIEL",
            "middle_name": "N",
            "prefix": "PROF.",
            "credential": "MD,FAAP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Belmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.