DR. WALTER W TOM MD, FACS
NPI 1861414179
Specialist in Santa Rosa, CA

Q: What is Walter Tom's NPI number?

The NPI number for Walter Tom is 1861414179. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Walter Tom's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Walter Tom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 24, 2006

170 FARMERS LN STE 6B, SANTA ROSA, CA 95405(707) 542-8346(707) 542-9173 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Walter W Tom Md, Facs NPPES

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

DR. WALTER W TOM MD, FACS (NPI 1861414179) is an individual specialist in Santa Rosa, California, licensed in California (G57374) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1861414179

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. WALTER W TOMCredential: MD, FACS

Location Address170 FARMERS LN STE 6BSanta Rosa, CA 95405-4768

Mailing Address170 Farmers Ln Ste 6bSanta Rosa, CA 95405-4768 · (707) 542-8346 · Fax (707) 542-9173

Phone(707) 542-8346

Fax(707) 542-9173

Sole ProprietorYes

Enumeration DateJuly 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1861414179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G57374

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

170 FARMERS LN STE 6B, Santa Rosa, CA 95405

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Other Identifiers 2

Medicare UPINA53274CA

Medicare ID-Type Unspecified00G573740CA

Other Providers at the Same Location NPPES

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

AESTHETIC LASER & VEIN CENTER OF THE NORTH BAY

Specialist

170 FARMERS LN STE 6B
SANTA ROSA, CA 95405

Sonoma County (707) 542-8346

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 Walter Tom's NPI number?

The NPI number for Walter Tom is 1861414179. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Walter Tom located?

Walter Tom practices at 170 Farmers Ln Ste 6B, Santa Rosa, CA 95405. The listed phone number is (707) 542-8346.

What is Walter Tom's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Walter Tom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.