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

Walter Dean Blackfox Jr.

Individual provider Case Manager/Care Coordinator · NPI 1740140540

Walter Dean Blackfox Jr. is a Case Manager/Care Coordinator in Agoura Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

5836 Fairview Pl
Agoura Hills, CA 91301-2232
Phone: (805) 413-5600
Fax: (888) 827-2346
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (CA)

Record details

NPI number1740140540
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 13, 2025
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

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