Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871850321 Individual Practitioner Male Practitioner

Christopher Scott Waller , IDC

Physician Assistant • Fallon, NV

Professional Overview & Biography Verified Profile Summary

Christopher Waller, IDC is a registered healthcare professional specializing in Physician Assistant in Fallon, NV. Practice services are available at 4755 PASTURE RD BLDG 299 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4755 Pasture Rd Bldg 299

Fallon, NV 894963202

Telephone 7754263125
Fax 7754263135
Associated Practice Facility / Clinic
🏢 Nhc Lemoore Facility NPI 1467864009

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fallon, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
9 Specialists

Practicing in Fallon, NV (1097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 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.

Secondary Practice Locations

34800 Bob Wilson Dr

San Diego, CA 921343202

Phone: 2103673312

10180 Bausell Pl

San Diego, CA 921243202

Phone: 7202328846

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Darin Rolfe , MD

Family Medicine

NPI 1710975446

Doctor of Medicine (M.D.)

Dr. Emily Gipson , MD

General Practice

NPI 1861060469

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address March 12, 2024

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

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

Military Health Care Provider

📍
Updated Practice Location January 23, 2023

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

📍
Updated Business Mailing Address January 23, 2023

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

📍
Updated Practice Location November 02, 2018

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

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

Physician Assistant

NPI Profile Active April 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2012

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

📍
Updated Business Mailing Address April 20, 2012

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

👤
Provider Name / Credentials Updated April 20, 2012

Recorded as CHRISTOPHER WALLER, IDC

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

937 Franklin Blvd

Lemoore, CA 932464700

Phone: 5599984384

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.