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DR. WALLA AL-HERTANI M.D.
NPI 1104395656
Medical Genetics - Clinical Genetics (M.D.) in Orange, CA

Active since November 14, 2018PECOS Enrolled
1201 W LA VETA AVE, ORANGE, CA 92868(714) 509-4873(714) 509-4788 Get Directions Write a Review

NPPES record last updated: July 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2024, Apr 15, 2019, Nov 14, 2018 (3 updates tracked since 2018).

About Dr. Walla Al-hertani M.d. NPPES

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

DR. WALLA AL-HERTANI M.D. (NPI 1104395656) is an individual clinical genetics (m.d.) provider in Orange, California, licensed in California (C196993) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104395656
Entity TypeIndividualFemale
Primary Taxonomy207SG0201X
Provider Legal NameDR. WALLA AL-HERTANICredential: M.D.
Location Address1201 W LA VETA AVEOrange, CA 92868-4203
Mailing Address1201 W La Veta AveOrange, CA 92868-4203 · (714) 509-4873 · Fax (714) 509-4788
Phone(714) 509-4873
Fax(714) 509-4788
Sole ProprietorNo
Enumeration DateNovember 14, 2018
Last NPPES UpdateJuly 27, 20243 updates tracked since enumeration
NPPES CertifiedJuly 27, 2024
✔ NPI 1104395656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in CA · C196993
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
1201 W LA VETA AVE, Orange, CA 92868
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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. Walla Al-hertani 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.

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.

TRISHA JACKSON
Social Worker
1201 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 509-8521
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Neurological Surgery
1201 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 509-8649
JULIAN THOMAS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1201 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 509-7601
DR. GEOFFREY CARSON CHENG MD
Pediatrics (Pediatric Hematology-Oncology)
1201 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 509-8636
BRIANNA JOY LEYDEN
Student in an Organized Health Care Education/Training Program
1201 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 997-3000
DR. MARNI CARMELA SWITKIN NAGEL PH.D.
Psychologist (Clinical Child & Adolescent)
1201 W LA VETA AVE, 503
ORANGE, CA 92868
Orange County (714) 532-8481
DR. DAINA DREIMANE MD
Pediatrics (Pediatric Endocrinology)
1201 W LA VETA AVE
ORANGE, CA 92868
Orange County (888) 770-2462
DR. SHARIEF KHALIL TARAMAN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1201 W LA VETA AVE, CHILDREN'S HOSPITAL OF ORANGE COUNTY, NEUROLOGY
ORANGE, CA 92868
Orange County (714) 509-7601

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 Walla Al-hertani's NPI number?

The NPI number for Walla Al-hertani is 1104395656. It was assigned to this individual provider in the NPPES registry on November 14, 2018.

Where is Walla Al-hertani located?

Walla Al-hertani practices at 1201 W La Veta Ave, Orange, CA 92868. The listed phone number is (714) 509-4873.

What is Walla Al-hertani's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Walla Al-hertani enrolled in Medicare?

Yes. Walla Al-hertani is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Walla Al-hertani was last updated on July 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.