Active NPI
David Alexander Walden, ATC
- Specialist
- Berkeley, CA
National Provider Identifier
1972914224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 2227 Bancroft Way
Berkeley, CA 94720-4426 - Phone
- (510) 642-4801
- Fax
- (510) 643-0792
- NPI assigned
- May 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E077916 | CA | |
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2227 Bancroft Way
Berkeley, CA 94720-4426
Mailing address
2227 Bancroft Way
Berkeley, CA 94720-4426
Phone (510) 642-4801
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
| License | State | Type | Specialty |
|---|---|---|---|
| E077916 | CA | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399507200000",
"number": "1972914224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 BANCROFT WAY",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947204426",
"telephone_number": "510-642-4801",
"fax_number": "510-643-0792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2227 BANCROFT WAY",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947204426",
"telephone_number": "510-642-4801",
"fax_number": "510-643-0792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDEN",
"first_name": "DAVID",
"middle_name": "ALEXANDER",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-08",
"last_updated": "2014-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "CA",
"license": "E077916",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.