DR. ANNE M WALLACE (NPI# 1699732941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699732941 |
Entity Type | Individual |
Full Name | DR. ANNE M WALLACE |
Credential | M.D. |
Practice Address |
3855 Health Sciences Dr La Jolla CA 92093-0987 |
Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
Practice Telephone | 8588226193 |
Practice Fax Number | 8588226194 |
Mailing Telephone | 8582496748 |
Mailing Fax Number | 6195433183 |
Enumeration Date | 2006-04-28 |
Last Update Date | 2017-03-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
G073000 | CA | Allopathic & Osteopathic Physicians |
N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
G073000 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699397430 | Anne Wallace | Counselor | 6220 Chase Oaks Blvd Ste 104, Plano, TX 75023-4641 | 2020-05-14 |
1548447030 | Anne M. Wallace | Psychologist | 3327 Orion Ave, Cincinnati, OH 45213-1707 | 2008-01-28 |
1194744623 | Anne Elizabeth Wallace | Registered Nurse | 850 Mill St Ste 301, Reno, NV 89502-1484 | 2006-07-18 |
1982849634 | Anne Marie Wallace | Speech-Language Pathologist | 250 Hawkins Drive, The University of Iowa, Iowa City, IA 52242-1012 | 2008-12-10 |
1790818052 | Anne Wallace | Social Worker | 89 Main St, Csac, Middlebury, VT 05753-1459 | 2007-03-14 |
1972510923 | Anne Wallace | Surgery | 1006 Centre Ave, Fort Collins, CO 80526-1849 | 2006-08-02 |
Street Address |
3855 HEALTH SCIENCES DR |
City | LA JOLLA |
State | CA |
Zip Code | 92093-0987 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356327316 | Hitendra Patel | Internal Medicine | 3855 Health Sciences Dr, La Jolla, CA 92093-2640 | 2005-12-21 |
1811512536 | Joseph Anthony Piscitelli | Student in an Organized Health Care Education/Training Program | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2020-06-09 |
1356963169 | Daniel Macmanus | Registered Nurse | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2020-05-14 |
1043867229 | Melissa Hines-antico | Nurse Practitioner | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2019-08-21 |
1851959555 | Robert Kaderka | Student in an Organized Health Care Education/Training Program | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2019-05-29 |
1104309442 | Ila Maewal Saunders | Pharmacist | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2018-09-12 |
1659854560 | Carie Ann Montesa | Nurse Practitioner | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2018-09-07 |
1831699297 | Andrew Menh Sam | Pharmacist | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2018-02-12 |
1205344116 | Jennifer Ann Dvorak | Nurse Practitioner | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2018-01-12 |
1467903682 | University of California, San Diego | Clinic/Center | 3855 Health Sciences Dr, Suite 1036, La Jolla, CA 92093-0845 | 2016-10-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902442908 | Forrest N Ridgway | Pharmacist | 3855 Health Sciences Drive #0845, La Jolla, CA 92093 | 2019-11-25 |
1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
1114372471 | Kevin Ting | Internal Medicine | 9500 Gilman Dr # Mc7411, La Jolla, CA 92093 | 2016-04-24 |
1225490147 | Karen Tye | Student in an Organized Health Care Education/Training Program | 3960 Health Sciences Drive, La Jolla, CA 92093 | 2016-03-22 |
1457716615 | Christine Pulido | Student in an Organized Health Care Education/Training Program | 9500 Gilman Drive #0851, La Jolla, CA 92093 | 2015-12-15 |
1467830489 | Justin Arshed Shaya | Internal Medicine | 3855 Health Sciences Dr #0829, La Jolla, CA 92093 | 2015-05-11 |
1225425606 | Brad Hiroshi Kimura | Internal Medicine | 9500 Gilman Dr # Mc9111g, La Jolla, CA 92093 | 2015-04-23 |
1407241169 | Courtney Holmes Mckee | Emergency Medicine | 3855 Health Sciences Drive Mc0987, La Jolla, CA 92093 | 2015-03-31 |
1528488350 | Arlene Bravo | General Practice | 9500 Gilman Dr # Mc0656, La Jolla, CA 92093 | 2014-04-19 |
1710237391 | Chaitanya Pabbati | Psychiatry & Neurology | 9500 Gillman Drive #9116a, La Jolla, CA 92093 | 2012-09-11 |
Find all providers in zip 92093 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356450928 | Mark Schoemann | Surgery | 9950 Genesee Ave, Suite 500, La Jolla, CA 92037 | 2006-08-29 |
1578938023 | Schoemann Medical Corporation | Surgery | 9850 Genesee Ave, Suite 500, La Jolla, CA 92037-1224 | 2015-12-09 |
1679724462 | Marialyn Jo Sardo | Surgery | 9850 Genesee Avenue, Ste. 380, La Jolla, CA 92037 | 2008-10-10 |
1679540389 | Ned W. Garrigues | Surgery | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2006-03-01 |
1780656330 | Gerald L. Schneider | Surgery | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2006-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699382523 | Beverly Hills Outpatient Surgery Center Inc | Surgery | 50 N La Cienega Blvd Ste 203, Beverly Hills, CA 90211-2246 | 2020-09-24 |
1558907857 | California Surgical and Anesthesia Services, Inc | Surgery | 3500 S Bristol St Ste 203, Santa Ana, CA 92704-7306 | 2019-11-21 |
1710533864 | Elite Transformations, A Professional Medical Corporation | Surgery | 1795 El Camino Real Ste 200, Palo Alto, CA 94306-1165 | 2019-08-14 |
1326503632 | Andre P. Marshall, Md Inc | Surgery | 32456 Crown Valley Pkwy Apt 105, Dana Point, CA 92629-3312 | 2019-01-31 |
1598245474 | Jenny Marie Hullinger | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
1497249817 | Alexander Villicana Md LLC | Surgery | 624 W Duarte Rd Ste 201, Arcadia, CA 91007-9261 | 2018-06-19 |
1316431273 | Justin E. West, Md Inc. | Surgery | 230 S Main St Ste 210, Orange, CA 92868-3851 | 2018-06-14 |
1811430234 | Marc Hamilton Hedrick | Surgery | 3020 Callan Rd, San Diego, CA 92121-1109 | 2016-12-02 |
1285082859 | Daniel Suissa | Surgery | 9201 W Sunset Blvd Ste 708, West Hollywood, CA 90069-3708 | 2016-05-24 |
1780030478 | Eric Yu Kit Li | Surgery | 10430 S De Anza Blvd Ste 170, Cupertino, CA 95014-3000 | 2016-05-11 |
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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.