Individual provider Active NPI

Patrick Joseph Walsh, M.D.

  • Pulmonary Diagnostics Registered Respiratory Therapist
  • Van Nuys, CA
National Provider Identifier
1962566380
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Diagnostics Registered Respiratory TherapistTaxonomy code 2279P1004X
License
G27968 Issued in CA
Practice address
15243 Vanowen St.
Suite #411
Van Nuys, CA 91405-3661
Phone
(818) 787-1050
Fax
(818) 787-9072
NPI assigned
Dec 20, 2006
Last updated
Jan 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Diagnostics Registered Respiratory Therapist 2279P1004X G27968 CA Primary

Addresses

Primary practice location

15243 Vanowen St.
Suite #411
Van Nuys, CA 91405-3661

Mailing address

15243 Vanowen St.
Suite #411
Van Nuys, CA 91405-3661
Phone (818) 787-1050

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G27968CAMDPulmonary Diagnostics Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1962566380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST.",
            "address_2": "SUITE #411",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053661",
            "telephone_number": "818-787-1050",
            "fax_number": "818-787-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST.",
            "address_2": "SUITE #411",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053661",
            "telephone_number": "818-787-1050",
            "fax_number": "818-787-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "CA",
            "license": "G27968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.