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MR. DAVID WALLSOM
NPI 1164975140
Counselor in San Jose, CA

Active since July 26, 2016
2011 LITTLE ORCHARD ST, SAN JOSE, CA 95125(408) 294-2100 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. David Wallsom NPPES

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

MR. DAVID WALLSOM (NPI 1164975140) is an individual counselor in San Jose, California and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1164975140
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. DAVID WALLSOM
Location Address2011 LITTLE ORCHARD STSan Jose, CA 95125-1031
Mailing Address2011 Little Orchard StSan Jose, CA 95125-1031 · (408) 294-2100
Phone(408) 294-2100
Sole ProprietorNo
Enumeration DateJuly 26, 2016
✔ NPI 1164975140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2011 LITTLE ORCHARD ST, San Jose, CA 95125
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Other Providers at the Same Location NPPES 18

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

MERCY EGBUJOR NP
Nurse Practitioner
2011 LITTLE ORCHARD ST, PUENTES CLINIC-INTERNAL MEDICINE
SAN JOSE, CA 95125
Santa Clara County (408) 294-2100
JANEEN CHUMLEY
Occupational Therapist
2011 LITTLE ORCHARD ST, APT/SUITE
SAN JOSE, CA 95125
Santa Clara County (559) 779-8907
JANBIR KAUR SANDHU MSW
Social Worker
2011 LITTLE ORCHARD ST
SAN JOSE, CA 95125
Santa Clara County (408) 510-7512
TERESA SCHMITZ MSW
Social Worker (School)
2011 LITTLE ORCHARD ST
SAN JOSE, CA 95125
Santa Clara County (408) 603-3535
GRISELDA VANESSA RODRIGUEZ
Counselor
2011 LITTLE ORCHARD ST
SAN JOSE, CA 95125
Santa Clara County (408) 294-2100
MARSHEY DECHELLE BROWN
Counselor
2011 LITTLE ORCHARD ST
SAN JOSE, CA 95125
Santa Clara County (408) 775-9661
SAMUEL WILBORN
Counselor
2011 LITTLE ORCHARD ST
SAN JOSE, CA 95125
Santa Clara County (408) 294-2100
CATHERINE SOLIS CCP CASE MANAGER
Counselor
2011 LITTLE ORCHARD ST
SAN JOSE, CA 95125
Santa Clara County (408) 294-2100

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 David Wallsom's NPI number?

The NPI number for David Wallsom is 1164975140. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Where is David Wallsom located?

David Wallsom practices at 2011 Little Orchard St, San Jose, CA 95125. The listed phone number is (408) 294-2100.

What is David Wallsom's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for David Wallsom was last updated on July 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.