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DR. WALTER PRESTON MAYNARD M.D.
NPI 1003838301
Radiology - Diagnostic Radiology in Inglewood, CA

Active since July 24, 2006PECOS Enrolled
125 N PRAIRIE AVE, INGLEWOOD, CA 90301(310) 671-9754(310) 671-3916 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Walter Preston Maynard M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WALTER PRESTON MAYNARD M.D. (NPI 1003838301) is an individual diagnostic radiology provider in Inglewood, California, licensed in California (C33935) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003838301
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. WALTER PRESTON MAYNARDCredential: M.D.
Location Address125 N PRAIRIE AVEInglewood, CA 90301-1904
Mailing Address125 N Prairie AveInglewood, CA 90301-1904 · (310) 671-9754 · Fax (310) 671-3916
Phone(310) 671-9754
Fax(310) 671-3916
Sole ProprietorYes
Enumeration DateJuly 24, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1003838301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · C33935
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License C33935 (CA)
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License C33935 (CA)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License C33935 (CA)
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License C33935 (CA)
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License C33935 (CA)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License C33935 (CA)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License C33935 (CA)
125 N PRAIRIE AVE, Inglewood, CA 90301
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Other Identifiers 3

Other00C339353CA · Nhic-medicare-cms
OtherC33935CA · Physician & Surgeon
Medicaid00C339350CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Walter Preston Maynard M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2188987

Walter P Maynard MD · Inglewood, CA
Expired · Jul 23, 2026
CLIA Number05D2188987
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 23, 2026
Laboratory DirectorWalter P. Maynard
Laboratory Phone(310) 259-0234
Laboratory LocationWalter P Maynard MD125 N Prairie Ave, Inglewood, CA 90301
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBORAH DENEASE POSEY O.D.
Optometrist
125 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 412-0321
JOLA HEALTH SERVICES, INC.
Home Health
125 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 412-0011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Maynard's NPI number?

The NPI number for Walter Maynard is 1003838301. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Walter Maynard located?

Walter Maynard practices at 125 N Prairie Ave, Inglewood, CA 90301. The listed phone number is (310) 671-9754.

What is Walter Maynard's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Walter Maynard enrolled in Medicare?

Yes. Walter Maynard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Walter Maynard was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.