1. Home
  2. Directory
  3. Arizona
  4. Yuma
  5. Family Medicine
  6. NPI Profile

TOR ERIK WILLIAM WALLSTROM M.D.
NPI 1700802964
Family Medicine in Yuma, AZ

Active since July 14, 2006
1394 W 16TH ST, YUMA, AZ 85364(928) 539-0055(928) 539-0053 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tor Erik William Wallstrom M.d. NPPES

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

TOR ERIK WILLIAM WALLSTROM M.D. (NPI 1700802964) is an individual family medicine provider in Yuma, Arizona, licensed in Arizona (25545) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1700802964
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTOR ERIK WILLIAM WALLSTROMCredential: M.D.
Location Address1394 W 16TH STYuma, AZ 85364-4430
Mailing Address1394 W 16th StYuma, AZ 85364-4430 · (928) 539-0055 · Fax (928) 539-0053
Phone(928) 539-0055
Fax(928) 539-0053
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateFebruary 10, 2012
✔ NPI 1700802964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 25545
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1394 W 16TH ST, Yuma, AZ 85364
Open in Google Maps ↗

Other Identifiers 3

Medicaid469024001AZ
Medicare UPINH05396AZ
Medicare ID-Type Unspecified72718AZ

Other Providers at the Same Location NPPES 6

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

SIDONIE B JUSTYNSKI
Nurse Practitioner (Psychiatric/Mental Health)
1394 W 16TH ST
YUMA, AZ 85364
Yuma County (928) 770-2053
NORTHSIDE MEDICAL CLINIC WALK IN LLC
Clinic/Center (Urgent Care)
1394 W 16TH ST
YUMA, AZ 85364
Yuma County (928) 539-0055
RICK G CLARK DO
Family Medicine
1394 W 16TH ST
YUMA, AZ 85364
Yuma County (928) 539-0055
RACHEL AMANDA FRY PA-C
Physician Assistant
1394 W 16TH ST
YUMA, AZ 85364
Yuma County (928) 539-0055
DANIEL R ORTIZ PA-C
Physician Assistant
1394 W 16TH ST
YUMA, AZ 85364
Yuma County (928) 539-0055
SARAH MASAKO DE VERA PA-C
Physician Assistant (Medical)
1394 W 16TH ST
YUMA, AZ 85364
Yuma County (928) 539-0055

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 Tor Erik Wallstrom's NPI number?

The NPI number for Tor Erik Wallstrom is 1700802964. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Tor Erik Wallstrom located?

Tor Erik Wallstrom practices at 1394 W 16th St, Yuma, AZ 85364. The listed phone number is (928) 539-0055.

What is Tor Erik Wallstrom's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tor Erik Wallstrom was last updated on February 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.