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Cinthia Irene Walker, PMHNP

Nurse Practitioner, Psych/Mental Health in San Clemente, CA. Individual provider (NPI-1).

NPI number1104548403
StatusActive
Last updated in NPPESMay 31, 2023

Details

NPI
1104548403
Entity type
Individual (NPI-1)
Name
Cinthia Irene Walker
Credential
PMHNP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 13, 2022
Certification date
May 31, 2023
Last updated
May 31, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health95021309CAYes

Practice location

1401 N El Camino Real Ste 100
San Clemente, CA 92672-4983

Phone 858-522-0145

Mailing address

17427 Wellfleet Ave
Carson, CA 90746-1656

Phone 323-326-4160

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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