Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Autar Kristen Wali, MD

Individual provider Surgery Physician · NPI 1164601449

Autar Kristen Wali, MD is a General Surgery in Pomona, California. Qualified in 1965, 61 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
61
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

155 W Willow St
Pomona, CA 91768-1829
Phone: (909) 865-2626
Fax: (909) 865-2010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence A32290 (CA)
Surgery Physician Taxonomy 208600000X · Licence A32290 (CA)

Record details

NPI number1164601449
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 2, 2007
Last updated in NPPESOctober 20, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 1965 (61 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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