JAMES KENNEDY WALL MD NPI 1952475279

NPI Information

  • NPI: 1952475279
  • Provider Name: JAMES KENNEDY WALL, MD
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 725 WELCH RD
    PALO ALTO, CA
    ZIP 94304
  • Phone: (650) 497-8000

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NPI Details

James Kennedy Wall, MD is a pediatric surgery surgery in Palo Alto, CA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. James Kennedy Wall, MD NPI is 1952475279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

725 WELCH RD
PALO ALTO, CA
ZIP 94304-601
Phone: (650) 497-8000
Fax: (650) 725-5577

The NPI 1952475279 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 4/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryA89820CALIFORNIANo
22086S0120XSurgeryPediatric SurgeryA89820CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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