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Christopher Scott Waller , IDC

Physician Assistant β€’ Fallon, NV

Active NPI 1871850321 Individual Practitioner Male Practitioner
Practice location in NPPES

4755 Pasture Rd Bldg 299
Fallon, NV 894963202

Call 7754263125 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4755 Pasture Rd Bldg 299

Fallon, NV 894963202

Telephone 7754263125
Fax 7754263135
Organization at the Same NPPES Address or Phone
Nhc Lemoore Facility NPI 1467864009

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in San Diego, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fallon and Nevada

9 active clinicians are listed under Physician Assistant with a practice address in Fallon, NV (1,084 in Nevada).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Military Health Care Provider - Independent Duty Corpsman

NUCC Taxonomy Code: 1710I1002X

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

34800 Bob Wilson Dr

San Diego, CA 921343202

Phone: 2103673312

10180 Bausell Pl

San Diego, CA 921243202

Phone: 7202328846

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Business Mailing Address March 12, 2024

Registered at 937 FRANKLIN BLVD, LEMOORE, CA 932464700 (Tel: 5599984384)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2024

Military Health Care Provider

πŸ“
Updated Practice Location January 23, 2023

Registered at 4755 PASTURE RD BLDG 299, FALLON, NV 894963202 (Tel: 7754263125)

πŸ“
Updated Business Mailing Address January 23, 2023

Registered at 4755 PASTURE RD BLDG 299, FALLON, NV 894960001 (Tel: 7754263125)

πŸ“
Updated Practice Location November 02, 2018

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921343202 (Tel: 2103673312)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2018

Physician Assistant

βœ…
NPI Profile Active April 20, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 20, 2012

Registered at 10180 BAUSELL PL, SAN DIEGO, CA 921243202 (Tel: 7202328846)

πŸ“
Business Mailing Address (Initial Record) April 20, 2012

Registered at 10180 BAUSELL PL, SAN DIEGO, CA 921243202 (Tel: 7202328846)

πŸ‘€
Provider Name / Credentials (Initial Record) April 20, 2012

Recorded as CHRISTOPHER WALLER, IDC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2012

Military Health Care Provider

🟒
Initial NPI Registration & Enumeration April 20, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871850321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2012
Last Update: March 12, 2024
Sole Proprietor: Yes

Other Physician Assistants in Fallon

Mailing Address

937 Franklin Blvd

Lemoore, CA 932464700

Phone: 5599984384

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.