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

Walter Allan Edmiston Jr., MD

Individual provider Cardiovascular Disease Physician · NPI 1407811128

Walter Allan Edmiston Jr., MD is a Cardiovascular Disease (Cardiology) in Pasadena, California. Graduated from Northwestern University Feinberg Medical School in 1971, 55 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
55
Trained at
Northwestern University Feinberg Medical School
Licensed in
CA
In the registry since
2006
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

55 E California Blvd 3rd Fl
Pasadena, CA 91105-3944
Phone: (626) 793-1227
Fax: (626) 793-3794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence G23064 (CA)

Record details

NPI number1407811128
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2006
Last updated in NPPESFebruary 5, 2016

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1971 (55 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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