MR. CHRISTOPHER SCOTT WALLER IDC
NPI 1871850321
Physician Assistant in Fallon, NV

Q: What is Christopher Waller's NPI number?

The NPI number for Christopher Waller is 1871850321. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Q: What is Christopher Waller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since April 20, 2012

4755 PASTURE RD BLDG 299, FALLON, NV 89496(775) 426-3125(775) 426-3135 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 23, 2023, Nov 2, 2018 (2 updates tracked since 2018).

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About Mr. Christopher Scott Waller Idc NPPES

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

MR. CHRISTOPHER SCOTT WALLER IDC (NPI 1871850321) is an individual physician assistant in Fallon, Nevada and active in the NPI registry since April 2012. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871850321

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. CHRISTOPHER SCOTT WALLERCredential: IDC

Location Address4755 PASTURE RD BLDG 299Fallon, NV 89496-3202

Mailing Address937 Franklin BlvdLemoore, CA 93246-4700 · (559) 998-4384

Phone(775) 426-3125

Fax(775) 426-3135

Sole ProprietorYes

Enumeration DateApril 20, 2012

Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration

NPPES CertifiedMarch 12, 2024

✔ NPI 1871850321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedMilitary Health Care Provider · Independent Duty CorpsmanTaxonomy 1710I1002X

4755 PASTURE RD BLDG 299, Fallon, NV 89496

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Secondary Practice Locations 2

Location 134800 Bob Wilson DrSan Diego, CA 92134-3202 · Phone (210) 367-3312 ext. 21036

Location 210180 Bausell PlSan Diego, CA 92124-3202 · Phone (720) 232-8846

Other Providers at the Same Location NPPES 5

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

DR. JONATHAN TYLER SMITH MD

General Practice