DONNA M. WALLACE (NPI# 1386792349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386792349 |
| Entity Type | Individual |
| Full Name | DONNA M. WALLACE |
| Credential | MD |
| Practice Address |
4647 Zion Ave San Diego CA 92120-2507 |
| Practice Telephone | 6195285000 |
| Mailing Telephone | 6195285000 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
G76858 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164938130 | Donna C. Wallace | Pharmacist | 1817 Nw 127th Ave, Pembroke Pines, FL 33028-2567 | 2017-12-28 |
| 1710199328 | Donna Wallace | Social Worker | 2110 Sw 97 Lane, Davie, FL 33324 | 2007-05-04 |
| 1639558471 | Donna Wallace | Counselor | 2814 S Us Highway 1, Suite D-4, Fort Pierce, FL 34982-8120 | 2015-05-26 |
| 1932475977 | Donna Lee Wallace | Specialist | 5600 Cypresswood Dr, Spring, TX 77379-8260 | 2012-03-23 |
| 1154577047 | Donna M Wallace | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2008-08-12 |
| 1003016320 | Donna K Wallace | Counselor | 1901 S 24th Ave, Edinburg, TX 78539-6533 | 2007-07-24 |
| 1124192703 | Donna F Wallace | Physical Therapist | 3445 Post Road, J Arthur Trudeau Memorial Center Attn Kim Ruelle Hr, Warwick, RI 02886-7147 | 2006-11-17 |
| 1952321200 | Donna D Wallace | Nurse Practitioner | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1139 | 2006-07-20 |
| 1346236122 | Donna C Wallace | Nurse Practitioner | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2005-09-27 |
| Street Address |
4647 ZION AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356332373 | Jon Thomas Umlauf | Family Medicine | 4647 Zion Ave, San Diego, CA 92120 | 2005-10-31 |
| 1316586076 | Michael Lam | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-12-29 |
| 1093358772 | Kaily Walters | Dietitian, Registered | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-10-24 |
| 1023650496 | Michael Dean Perry | Radiology | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-10-17 |
| 1912558297 | Vishnavi Pailla Reddy | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-09-26 |
| 1124678016 | Raymond Sami Totah | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-09-12 |
| 1225699416 | Thao Phuong Nguyen | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-06-27 |
| 1790340073 | Edwin Uribe Contreras | Student in an Organized Health Care Education/Training Program | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-05-02 |
| 1588229835 | Anthony Jacob Sutton Mells | Student in an Organized Health Care Education/Training Program | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-05-02 |
| 1295399640 | Richard William Comeaux | Student in an Organized Health Care Education/Training Program | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1548786163 | Uc San Diego | Pathology | 200 West Arbor Drive Mc 8320, San Diego, CA 92103 | 2017-08-15 |
| 1669818456 | Stephanie Erin Muller | Pathology | 9295 Farnham Street, Suite 100, San Diego, CA 92123 | 2013-05-20 |
| 1740571264 | Lynn A Lancaster | Pathology | 4633 E Talmadge Dr, San Diego, CA 92116-4829 | 2011-05-02 |
| 1255633442 | Lawrence Browning Willes | Pathology | 200 W Arbor Dr # Mc8720, San Diego, CA 92103-9001 | 2010-11-22 |
| 1063724920 | Veena Singh | Pathology | 9640 Towne Centre Dr Ste 200, San Diego, CA 92121-1963 | 2010-07-08 |
| 1194056820 | James Russell Nickel | Pathology | 3446 Hancock St, Suite C, San Diego, CA 92110-4306 | 2010-01-20 |
| 1386832640 | Aamir Ahsan | Pathology | 9295 Farnham St Ste 100, San Diego, CA 92123-1254 | 2007-10-11 |
| 1437340445 | Maria Lourdes Fernandez Reyes | Pathology | 6371 Rancho Mission Rd, Unit 2, San Diego, CA 92108-2016 | 2007-08-05 |
| 1316030984 | James J Underwood | Pathology | 9853 Pacific Heights Blvd, Ste B, San Diego, CA 92121-4721 | 2006-10-02 |
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| 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.