MS. SANDRA LOUISE WALLACE (NPI# 1235140930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235140930 |
| Entity Type | Individual |
| Full Name | MS. SANDRA LOUISE WALLACE |
| Credential | MD |
| Practice Address |
50 Alessandro Pl Suite 360 Pasadena CA 91105-3149 |
| Mailing Address |
Po Box 1449 Brea CA 92822-1449 |
| Practice Telephone | 6267936133 |
| Practice Fax Number | 6267936135 |
| Mailing Telephone | 7149961633 |
| Mailing Fax Number | 7149969267 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
G403910 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD RETIREMENT | 110010430 | 01 | |
| CA | 00G403910 | 05 | |
| CA | BLUE SHIELD | 00G403910 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518153295 | Sandra Eugenia Wallace | Massage Therapist | 3627 Acornrun Ln, Spring, TX 77389-4721 | 2007-09-17 |
| 1710910617 | Sandra Marie Wallace | Pharmacist | 4501 Outer Loop, Louisville, KY 40219-3856 | 2006-07-07 |
| 1912273301 | Sandra Marie Wallace | Registered Nurse | 180 7th Ave, Brooklyn, NY 11203 | 2012-03-29 |
| 1811182868 | Sandra Frances Wallace | Licensed Practical Nurse | 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 | 2007-09-12 |
| 1245350172 | Sandra V Wallace | Registered Nurse | 909 Alameda St, Norman, OK 73071-5229 | 2007-04-02 |
| 1093748717 | Sandra J. Wallace | Occupational Therapist | 1701 N Collins Blvd, Suite 100, Richardson, TX 75080-3564 | 2006-07-08 |
| Street Address |
50 ALESSANDRO PL SUITE 360 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839768 | Robert-jayson Communications | Audiologist | 50 Alessandro Pl, Suite 230, Pasadena, CA 91105-3149 | 2005-05-27 |
| 1205369006 | Pasadena Infectious Diseases and Tropical Medicine Inc | Internal Medicine | 50 Alessandro Pl, Suite 360, Pasadena, CA 91105-3149 | 2017-04-07 |
| 1679934368 | Adeeb Kidney Care Inc | Internal Medicine | 50 Alessandro Pl, Ste 140, Pasadena, CA 91105-3149 | 2016-03-09 |
| 1659777944 | David Girard | Psychiatry & Neurology | 50 Alessandro Pl, Pasadena, CA 91105 | 2014-11-13 |
| 1023368891 | Andrew Cotham | Physical Therapist | 50 Alessandro Pl, Suite A40, Pasadena, CA 91105-3149 | 2012-09-19 |
| 1003163775 | Andrew Cotham Physical Therapy P.C. | Clinic/Center | 50 Alessandro Pl, Suite A40, Pasadena, CA 91105-3149 | 2012-08-12 |
| 1043515877 | Holly Wang Md Inc | Pediatrics | 50 Alessandro Pl, Suite 200, Pasadena, CA 91105-3149 | 2011-01-26 |
| 1184938359 | Brian Lugo, M.d., Medical Corp | Surgery | 50 Alessandro Pl, Suite 340, Pasadena, CA 91105-3149 | 2010-07-29 |
| 1376732057 | Julie Ting-yu Yang | Internal Medicine | 50 Alessandro Pl, Suite 410, Pasadena, CA 91105-3149 | 2007-10-18 |
| 1881884013 | Paul Mcandrews, M.d., Inc. | Specialist | 50 Alessandro Pl, Suite 115, Pasadena, CA 91105-3149 | 2007-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538208111 | Arvid Eugen Underman | Internal Medicine | 711 Fairmount Ave, Room 1-11, Pasadena, CA 91105-3103 | 2007-02-06 |
| 1982762571 | Brian Terry | Internal Medicine | 1250 E Green St, Pasadena, CA 91106-3112 | 2006-12-05 |
| 1538101670 | Luong T Ly | Internal Medicine | 99 S Raymond Ave # 610, Pasadena, CA 91105-2046 | 2006-06-12 |
| 1780622928 | Zaher Shebib | Internal Medicine | 6319 Fairmont Pkwy, Suite 201, Pasadena, TX 77505-4245 | 2006-06-02 |
| 1801848023 | Maurice Ekechi Akuchie | Internal Medicine | 3808 Woodlawn Ave, Pasadena, TX 77504-1933 | 2006-05-16 |
| 1114422722 | Theingi Oo Md Inc | Internal Medicine | 3160 E Del Mar Blvd, Pasadena, CA 91107-4649 | 2018-03-26 |
| 1205369006 | Pasadena Infectious Diseases and Tropical Medicine Inc | Internal Medicine | 50 Alessandro Pl, Suite 360, Pasadena, CA 91105-3149 | 2017-04-07 |
| 1801248067 | Ryan H Joo, M.d. Inc. | Internal Medicine | 959 E Walnut St, Suite 120, Pasadena, CA 91106-1451 | 2016-07-11 |
| 1952700759 | Elisa Chang Md Inc | Internal Medicine | 959 E Walnut St, Suite 120, Pasadena, CA 91106-1451 | 2014-08-18 |
| 1104182542 | Andrew Lai Inc. | Internal Medicine | 959 E Walnut St Ste 120, Pasadena, CA 91106-5364 | 2012-04-10 |
| Find all providers in PASADENA | ||||
Please comment or provide details below to improve the information on MS. SANDRA LOUISE WALLACE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.