MR. MARTY WALTER III LVN
NPI 1104254994
Licensed Vocational Nurse in Santa Ana, CA

Q: What is Marty Walter's NPI number?

The NPI number for Marty Walter is 1104254994. It was assigned to this individual provider in the NPPES registry on October 15, 2013.

Q: What is Marty Walter's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Marty Walter was last updated on October 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 15, 2013

550 N FLOWER ST, SANTA ANA, CA 92703(714) 647-6048 Get Directions Write a Review

NPPES record last updated: October 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Marty Walter Iii Lvn NPPES

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

MR. MARTY WALTER III LVN (NPI 1104254994) is an individual licensed vocational nurse in Santa Ana, California, licensed in California (VN205110) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1104254994

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameMR. MARTY WALTER IIICredential: LVN

Location Address550 N FLOWER STSanta Ana, CA 92703-2361

Mailing Address914 S Sherrill StAnaheim, CA 92804-4025 · (714) 952-8667

Phone(714) 647-6048

Sole ProprietorYes

Enumeration DateOctober 15, 2013

✔ NPI 1104254994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · VN205110

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

550 N FLOWER ST, Santa Ana, CA 92703

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Other Providers at the Same Location NPPES 20

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

MR. GERARDO M DE JESUS NP

Nurse Practitioner (Adult Health)