Provider Demographics
NPI:1932379278
Name:ARTHUR A WALTON DPM INC
Entity Type:Organization
Organization Name:ARTHUR A WALTON DPM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:AUBERY
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:949-650-1900
Mailing Address - Street 1:355 PLACENTIA AVE
Mailing Address - Street 2:STE 302
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663
Mailing Address - Country:US
Mailing Address - Phone:949-650-1900
Mailing Address - Fax:949-650-1902
Practice Address - Street 1:355 PLACENTIA AVE
Practice Address - Street 2:STE 302
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663
Practice Address - Country:US
Practice Address - Phone:949-650-1900
Practice Address - Fax:949-650-1902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE1223213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1093680001Medicare NSC
CAWE1223BMedicare PIN
CAW22048Medicare PIN