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

Dr. Ken Carlson Walls, PHD, MPAS, DO

Individual provider Physician Assistant · NPI 1992162242

Dr. Ken Carlson Walls, PHD, MPAS, DO is a Physician Assistant in Riverside, California. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2020, 6 years ago. Practices with County of Riverside, a 187-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone: (951) 353-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 26520 Cactus Ave, Moreno Valley, CA 92555-3927 — (951) 486-4000
  • 2036 S 5th St, McAllen, TX 78503-2938 — (314) 488-5943

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence PTL1723 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1992162242
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , MPAS , DO
Sole proprietorYes
NPI enumeratedJanuary 18, 2016
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 23, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2020 (6 years in practice)
Group practice County Of Riverside — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Riverside