Active NPI
Patrick Joseph Walter, D.C., M.S.
- Independent Medical Examiner Chiropractor
- Oakland, CA
National Provider Identifier
1750693610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Chiropractor
- License
- 15422
- Practice address
- 2648 International Blvd Ste 701
Oakland, CA 94601-1506 - Phone
- (510) 867-7943
- Fax
- (510) 952-8265
- NPI assigned
- Jul 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15422 | CA | |
| Nutrition Chiropractor | 111NN1001X | 15422 | CA | |
| Rehabilitation Chiropractor | 111NR0400X | 15422 | CA | |
| Thermography Chiropractor | 111NT0100X | 15422 | CA | |
| Occupational Health Chiropractor | 111NX0100X | 15422 | CA | |
| Independent Medical Examiner Chiropractor | 111NI0013X | 15422 | CA | Primary |
Addresses
Primary practice location
2648 International Blvd Ste 701
Oakland, CA 94601-1506
Mailing address
1811 Bay St
Alameda, CA 94501-1104
Phone (510) 867-7943
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15422 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1750693610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 BAY ST",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011104",
"telephone_number": "510-867-7943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2648 INTERNATIONAL BLVD STE 701",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946011506",
"telephone_number": "510-867-7943",
"fax_number": "510-952-8265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-08",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "15422",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "15422",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "15422",
"primary": false
},
{
"code": "111NT0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Thermography",
"state": "CA",
"license": "15422",
"primary": false
},
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "CA",
"license": "15422",
"primary": false
},
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "CA",
"license": "15422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.