EDWARD WALLS (NPI# 1871907972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871907972 |
| Entity Type | Individual |
| Full Name | EDWARD WALLS |
| Practice Address |
771 W.orangethorpe Ave. Fullerton CA 92832 |
| Mailing Address |
771 W Orangethorpe Ave Fullerton CA 92832-2806 |
| Practice Telephone | 7148790929 |
| Mailing Telephone | 7148790929 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
300042BN | Behavioral Health & Social Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
300042BN | CA | Behavioral Health & Social Service Providers |
| Street Address |
771 W.ORANGETHORPE AVE. |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1205258159 | Andres Nathan Ramirez | Case Manager/Care Coordinator | 320 W. Elm Ave, Fullerton, CA 92832 | 2014-01-13 |
| Find all providers in zip 92832 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170734 | Cynthia Sue Melican | Counselor | 3160 Yorba Linda Blvd Apt D3, Fullerton, CA 92831-2338 | 2020-09-30 |
| 1033720990 | Casey Postma | Counselor | 1101 Williamson Ave, Fullerton, CA 92833-2747 | 2020-08-13 |
| 1538528542 | Colleen Louise Childress | Counselor | 1201 W Valencia Dr, Space 29, Fullerton, CA 92833-3310 | 2016-02-18 |
| 1790072155 | Richard Lynn Spurlock | Counselor | 2317 Nicolas Dr, Fullerton, CA 92833-1342 | 2011-07-06 |
| 1275747453 | Dennis Bocanegra | Counselor | 1501 W Baker Ave, Fullerton, CA 92833-4519 | 2007-05-09 |
| 1306920236 | James Allen Luther | Counselor | 329 E Commonwealth Ave, Fullerton, CA 92832-2016 | 2006-10-25 |
| 1669563573 | Brian Greene | Counselor | 1425 N Placentia Ave, # 77, Fullerton, CA 92831-2575 | 2006-09-27 |
| 1811506991 | Desiree Lanette Bishop | Counselor | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2020-07-24 |
| 1568086486 | Michele Marie Marcinkevicz | Counselor | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2020-06-05 |
| 1952925000 | Reymunda Sandoval | Counselor | 731 S Highland Ave, Fullerton, CA 92832-2753 | 2020-06-04 |
| Find all providers in FULLERTON | ||||
Please comment or provide details below to improve the information on EDWARD WALLS.
| 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.