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

Mr. Johnnie Henderson Walton VI, ATC

Individual provider Athletic Trainer · NPI 1366001240

Mr. Johnnie Henderson Walton VI, ATC is an Athletic Trainer in San Jose, California. Practices as a sole proprietor and works from 4 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

190 Ryland St Apt 4101
San Jose, CA 95110-3907
Phone: (650) 861-9715
Show map & directions

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

Additional practice locations (3)

  • 1109 Windermere Ave, Menlo Park, CA 94025-1313 — (650) 861-9715
  • 400 Murchison Dr, Millbrae, CA 94030-3099 — (650) 861-9715
  • 7447 Morton Ave, Newark, CA 94560-4207 — (650) 861-9715

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1366001240
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJune 13, 2019
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

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