JOHN R WALTERS MD INC
NPI 1104621648
Clinic/Center - Primary Care in Oxnard, CA
About John R Walters Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN R WALTERS MD INC (NPI 1104621648) is a healthcare organization registered as a primary care in Oxnard, California and active in the NPI registry since February 2025. The organization lists John Ramsay Walters, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John R Walters Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to John R Walters MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 John R Walters MD Inc's NPI number?
The NPI number for John R Walters MD Inc is 1104621648. It was assigned to this organization in the NPPES registry on February 18, 2025.
Where is John R Walters MD Inc located?
John R Walters MD Inc is located at 703 N A St, Oxnard, CA 93030. The listed phone number is (805) 485-2340.
What is John R Walters MD Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is John R Walters MD Inc enrolled in Medicare?
Yes. John R Walters MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through John R Walters MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to John R Walters MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for John R Walters MD Inc was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# John R Walters Md Inc · NPI 1104621648
Primary Care organization in Oxnard, California. Organization record, active in the CMS NPPES registry since February 18, 2025.
## Identity
- **NPI:** 1104621648 (Entity type: Organization)
- **Enumerated:** February 18, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** John Walters, OWNER
## Practice location
- **Address:** 703 N A ST, Oxnard, CA 93030-4309
- **Phone:** (805) 485-2340 · **Fax:** (805) 485-1429
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104621648) · Data from the CMS NPPES public registry.