Individual provider Active NPI

Anne Marie Walsh, P.A.

  • Medical Physician Assistant
  • Newport Beach, CA
National Provider Identifier
1881811545
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA15511 Issued in CA
Practice address
351 Hospital Road
Suite 406
Newport Beach, CA 92663-3506
Phone
(949) 646-7733
Fax
(949) 646-6155
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15511 CA
Medical Physician Assistant 363AM0700X PA15511 CA Primary

Addresses

Primary practice location

351 Hospital Road
Suite 406
Newport Beach, CA 92663-3506

Mailing address

351 Hospital Road
Suite 406
Newport Beach, CA 92663-3506
Phone (949) 646-7733

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15511CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Todd Forman, Inc. Past Accepting new patients
Desmond E. McGuire, M. D., Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1881811545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL ROAD",
            "address_2": "SUITE 406",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633506",
            "telephone_number": "949-646-7733",
            "fax_number": "949-646-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL ROAD",
            "address_2": "SUITE 406",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633506",
            "telephone_number": "949-646-7733",
            "fax_number": "949-646-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15511",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.