Mignon Walker, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A77862 Issued in CA

Practice address

2447 Pacific Coast Hwy FL 2
Hermosa Beach, CA 90254-2743

Phone

(310) 941-1513

Fax

(888) 611-0861

NPI assigned

Oct 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: drwalker@org40.direct.charmhealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allen Medical Group, Inc.

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1487983599

  General Practice

  NPD (past)
• Babak Roozrokh, MD Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1750311791
  NPD (past)
• Palliative Care Doctors Group, Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1578826053
  NPD (past)
• Peoples Community Clinic

  • Family Medicine Physician
  • Hemet, CA
  • NPI 1477999290
  NPD (past)

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1780836114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 PACIFIC COAST HWY FL 2",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542743",
            "telephone_number": "310-941-1513",
            "fax_number": "888-611-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 PACIFIC COAST HWY FL 2",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542743",
            "telephone_number": "310-941-1513",
            "fax_number": "888-611-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MIGNON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A77862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vy Pham OD Inc. (Eyes of Hermosa Optometry)
• Kelly Condon Waggoner, PSY.D.
• Danielle Wagoner, MA, BCBA
• Lisa Deanne Waldman, PH.D.
• Kacey Walker, AMFT
• Steven V Walker Jr., APCC
• Jennifer Patricia Walsh, ED.D
• Kelly Warren, PSYD
• Way of the Tao, Acupuncture & Wellness Inc.
• John Anthony Webber, MS, LMFT

• General Practice Physician in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.