Organization Active NPI

S D Walker Medical Inc.

  • Specialist
  • West Hollywood, CA
National Provider Identifier
1861655433
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A62652 Issued in CA
Legal business name
S D WALKER MEDICAL INC.
Practice address
8535 Santa Monica Blvd
West Hollywood, CA 90069-4100
Phone
(310) 659-1959
Fax
(310) 659-4769
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Bruce J. Walker, M.D.NPI 1376517292
Title
Owner/President
Phone
(310) 659-1959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A62652 CA Primary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X A62652 CA

Addresses

Primary practice location

8535 Santa Monica Blvd
West Hollywood, CA 90069-4100

Mailing address

8581 Santa Monica Blvd
#229
West Hollywood, CA 90069-4120
Phone (310) 659-1959

Other identifiers 1

IdentifierTypeStateIssuer
A62652OtherCASTATE LICENSE

National Provider Directory

National Provider Directory

Locations

8535 Santa Monica Blvd
West Hollywood, CA 90069
Phone (310) 659-1959

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1861655433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8581 SANTA MONICA BLVD",
            "address_2": "#229",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694120",
            "telephone_number": "310-659-1959",
            "fax_number": "310-659-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8535 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694100",
            "telephone_number": "310-659-1959",
            "fax_number": "310-659-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S D WALKER MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-659-1959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A62652",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "A62652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A62652",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.