Robert M Wald Jr., MD INC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G39788 Issued in CA

Practice address

100 E. Valencia Mesa Drive
#300
Fullerton, CA 92835

Phone

(714) 738-4282

Fax

(714) 738-1862

NPI assigned

Nov 27, 2006

Sex

Male

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

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• County of Los Angeles

  dba County of Los Angeles Harbor UCLA Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment
• Mesa Surgicenter

  • Ambulatory Surgical Clinic/Center
  • Fullerton, CA
  • NPI 1053463984
  NPD (past) Authorized official
• Anaheim Memorial Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1295782381
  NPD (past)
• St Jude Hospital Inc

  dba Providence St. Jude Medical Center

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  NPD (past)
• University of California Irvine

  dba UCI Health - Placentia Linda

  • General Acute Care Hospital
  • Placentia, CA
  • NPI 1700817756
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1952477507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E. VALENCIA MESA DRIVE",
            "address_2": "#300",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "714-738-4282",
            "fax_number": "714-738-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E. VALENCIA MESA DRIVE",
            "address_2": "#300",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "714-738-4282",
            "fax_number": "714-738-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALD",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "MD INC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G39788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wai Man Lindsey Ip DDS Inc
• Christina Abbott Wainwright, M.D.
• Grace Wakcher
• Sebastian Pierre Waked
• Eric Yoshihiro Waki, M.D.
• Maya Lizette Waldron
• Walgreen Co (Walgreens #01750)
• Walgreen Co (Walgreens #06215)
• Jyotika L Wali, M.D.
• Parampreet Singh Walia, M.D.

• Plastic Surgery Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.