DR. ANNE M WALLACE


Address: 3855 Health Sciences Dr, La Jolla, CA 92093-0987
Phone: 8588226193

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).

Provider Overview

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

Taxonomy

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

Other Providers ANNE WALLACE

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

Office Location

Street Address 3855 HEALTH SCIENCES DR
City LA JOLLA
State CA
Zip Code 92093-0987

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City LA JOLLA
Zip Code 92093

Improve Information

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Dataset Information

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.

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