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WALSH MEDICAL GROUP,A PROFESSIONAL CORPORATION
NPI 1114192390
Pediatrics in Anaheim, CA

Active since April 28, 2008CLIA Certified · 2 labs
947 S ANAHEIM BLVD STE 115, ANAHEIM, CA 92805(714) 533-7320(714) 533-7321 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2022, Mar 26, 2020 (2 updates tracked since 2020).

About Walsh Medical Group,a Professional Corporation NPPES

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

WALSH MEDICAL GROUP,A PROFESSIONAL CORPORATION (NPI 1114192390) is a healthcare organization registered as a pediatrics in Anaheim, California and active in the NPI registry since April 2008. The organization holds 2 active CLIA laboratory certificates and lists Lindsay Martinez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114192390
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWALSH MEDICAL GROUP,A PROFESSIONAL CORPORATION
Location Address947 S ANAHEIM BLVD STE 115Anaheim, CA 92805-5582
Mailing Address947 S Anaheim Blvd Ste 115Anaheim, CA 92805-5582 · (714) 533-7320 · Fax (714) 533-7321
Phone(714) 533-7320
Fax(714) 533-7321
Organization SubpartYesParent: Walsh Medical Group, A Professional Corporation
Authorized OfficialLindsay MartinezOffice Manager · (714) 502-1144
Enumeration DateApril 28, 2008
Last NPPES UpdateJuly 20, 20222 updates tracked since enumeration
NPPES CertifiedJuly 20, 2022
✔ NPI 1114192390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPoint of ServiceTaxonomy 305S00000X · License 00A325660 (CA)
947 S ANAHEIM BLVD STE 115, Anaheim, CA 92805
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CLIA Laboratory Certificates CMS CLIA 2

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 05D1082458

Walsh Medical Group · Anaheim, CA
Active · expires Apr 9, 2028
CLIA Number05D1082458
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorMamerto G. Garcia
Laboratory Phone(714) 533-7320
Laboratory LocationWalsh Medical Group947 S Anaheim Blvd Ste 115, Anaheim, CA 92805
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1054815

Walsh Medical Group, Inc · Anaheim, CA
Active · expires May 30, 2028
CLIA Number05D1054815
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2026
Certificate Expiration DateMay 30, 2028
Laboratory DirectorMamerto G. Garcia
Laboratory Phone(714) 502-1144
Laboratory LocationWalsh Medical Group, Inc1110 W La Palma Ave, Suite 6, Anaheim, CA 92801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Walsh Medical Group,a Professional Corporation's NPI number?

The NPI number for Walsh Medical Group,a Professional Corporation is 1114192390. It was assigned to this organization in the NPPES registry on April 28, 2008.

Where is Walsh Medical Group,a Professional Corporation located?

Walsh Medical Group,a Professional Corporation is located at 947 S Anaheim Blvd Ste 115, Anaheim, CA 92805. The listed phone number is (714) 533-7320.

What is Walsh Medical Group,a Professional Corporation's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Walsh Medical Group,a Professional Corporation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Walsh Medical Group,a Professional Corporation was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.