WALTER JOLLEY DPM A PROFESSIONAL CORPORATION (NPI# 1548441389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548441389 |
| Entity Type | Organization |
| Organization Name | WALTER JOLLEY DPM A PROFESSIONAL CORPORATION |
| Practice Address |
5222 Balboa Ave Suite 52 San Diego CA 92117-6904 |
| Practice Telephone | 8585600390 |
| Practice Fax Number | 8585600333 |
| Mailing Telephone | 8585600390 |
| Mailing Fax Number | 8585600333 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |
| Authorized Official Name | DR. WALTER HAROLD JOLLEY (PROVIDER/OWNER) |
| Authorized Official Telephone | 8585600390 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E1540 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
5222 BALBOA AVE SUITE 52 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117-6904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772756 | Raymond C Heung | Internal Medicine | 5222 Balboa Ave, Ste 33, San Diego, CA 92117-6953 | 2005-07-05 |
| 1265851810 | Lindsay Lindsay Trottier | Acupuncturist | 5222 Balboa Ave, Suite 21, San Diego, CA 92117-6904 | 2014-04-10 |
| 1427499128 | Rty Pharmaceutical Inc | Pharmacy | 5222 Balboa Ave, San Diego, CA 92117-6904 | 2013-07-10 |
| 1215294244 | Erica Dawn Stark | Acupuncturist | 5222 Balboa Ave, Suite 43, San Diego, CA 92117-6904 | 2012-04-16 |
| 1447563275 | Jessica Davis | Nurse Practitioner | 5222 Balboa Ave, Suite 31, San Diego, CA 92117-6904 | 2010-07-21 |
| 1750570289 | Evelyn Jeehyun Kang | Chiropractor | 5222 Balboa Ave, Suite# 73, San Diego, CA 92117-6904 | 2007-10-22 |
| 1669699849 | Raymond Heung, M.d. | Clinical Medical Laboratory | 5222 Balboa Ave, Suite 33, San Diego, CA 92117-6904 | 2007-04-19 |
| 1538384573 | Mike Adams | Dentist | 5222 Balboa Ave, Suite 71, San Diego, CA 92117-6904 | 2007-04-16 |
| 1194898064 | Mahindokht Mary Raiszadeh | Legal Medicine | 5222 Balboa Ave, Ste 45, San Diego, CA 92117-6904 | 2006-11-16 |
| 1558459180 | Advanced Pediatric Medical Group Inc | Clinic/Center | 5222 Balboa Ave, Suite 42, San Diego, CA 92117-6904 | 2006-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437348919 | Ryan Yen Choy Lee | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2007-10-19 |
| 1295899888 | Podiatry Associates of San Diego | Podiatrist | 3330 Third Avenue #402, San Diego, CA 92103-5639 | 2006-12-20 |
| 1962517508 | Patricia Lynn Forg | Podiatrist | 3989 32nd St, San Diego, CA 92104-2001 | 2006-08-21 |
| 1730111469 | Renee Gregorio | Podiatrist | 3636 5th Ave, #300, San Diego, CA 92103-4230 | 2006-07-06 |
| 1962456400 | Richard M and Donald R Green Ptrs Dba San Diego Podiatry Group | Podiatrist | 2650 Camino Del Rio N, Suite 101, San Diego, CA 92108-1621 | 2006-05-20 |
| 1053317545 | Nicholas Nelson Desantis | Podiatrist | 2306 6th Ave, San Diego, CA 92101-1643 | 2005-06-21 |
| 1013911395 | Sophie I Liu | Podiatrist | 7297 Ronson Rd Ste H, San Diego, CA 92111-1428 | 2005-06-02 |
| 1073128385 | Aisha Ahmed, Dpm, Inc. | Podiatrist | 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 | 2020-09-14 |
| 1295249902 | San Diego Foot & Ankle, Inc | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2017-11-17 |
| 1770014516 | James Willmore | Podiatrist | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2017-03-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.