Individual provider Active NPI

Willian Reid Walton

  • Marriage & Family Therapist
  • Costa Mesa, CA
National Provider Identifier
1821678574
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
52438 Issued in CA
Practice address
151 Kalmus Drive Unit B Suite 150
Costa Mesa, CA 92626-9262
Phone
(949) 466-7142
NPI assigned
Apr 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 52438 CA Primary

Addresses

Primary practice location

151 Kalmus Drive Unit B Suite 150
Costa Mesa, CA 92626-9262

Mailing address

19631 Ashworth Cir
Huntington Beach, CA 92646-3656
Phone (949) 466-7142

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address reid@reidwalton.com Direct

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

State licenses

LicenseStateTypeSpecialty
52438CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1821678574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19631 ASHWORTH CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463656",
            "telephone_number": "949-466-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KALMUS DRIVE UNIT B SUITE 150",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926269262",
            "telephone_number": "949-466-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "WILLIAN",
        "middle_name": "REID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reid@reidwalton.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "151 Kalmus Drive Unit B Suite 150",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926269262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.