DR. ADAM GREGORY WALLACH (NPI# 1982741021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982741021 |
| Entity Type | Individual |
| Full Name | DR. ADAM GREGORY WALLACH |
| Credential | M.D. |
| Practice Address |
400 El Cerro Blvd Suite 204 Danville CA 94526-1731 |
| Practice Telephone | 9258378848 |
| Practice Fax Number | 9258374808 |
| Mailing Telephone | 9258378848 |
| Mailing Fax Number | 9258374808 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
G85998 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336264779 | Adam Wallach | Radiology | 1255 S Cedar Crest Blvd, Suite 3600, Allentown, PA 18103-6256 | 2007-03-21 |
| Street Address |
400 EL CERRO BLVD SUITE 204 |
| City | DANVILLE |
| State | CA |
| Zip Code | 94526-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760447320 | Donald Samuel Parsons | Internal Medicine | 400 El Cerro Blvd, Ste 102, Danville, CA 94526-1731 | 2006-04-18 |
| 1902345747 | Puja Thakkar, D.o., Medical Corporation | Internal Medicine | 400 El Cerro Blvd, Suite 107, Danville, CA 94526-1731 | 2017-02-13 |
| 1497207849 | Swenson Precision Chiropractic Inc. | Chiropractor | 400 El Cerro Blvd, Suite 206, Danville, CA 94526-1731 | 2016-11-02 |
| 1548617830 | Sanaz Mansourian | Specialist | 400 El Cerro Blvd, Suite 204, Danville, CA 94526-1731 | 2016-05-17 |
| 1831515634 | Bao Khanh Jabbar | Dentist | 400 El Cerro Blvd, Suite 106, Danville, CA 94526-1731 | 2014-03-17 |
| 1568666063 | Paul Patrick Cannariato | Dentist | 400 El Cerro Blvd, Suite #201, Danville, CA 94526-1731 | 2007-06-11 |
| 1033232525 | Sara Shahnavaz | Dentist | 400 El Cerro Blvd, Suite #101, Danville, CA 94526-1731 | 2007-04-09 |
| 1326116906 | Michelle Lee Coleman Swenson | Chiropractor | 400 El Cerro Blvd, Suite 206, Danville, CA 94526-1731 | 2006-12-01 |
| 1255425179 | Anthony Lizano, Dds, Apc | Dentist | 400 El Cerro Blvd, Suite 202, Danville, CA 94526-1731 | 2006-10-03 |
| 1366457111 | Dino S Javaheri | Dentist | 400 El Cerro Blvd, Suite 101, Danville, CA 94526-1731 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1821585415 | Cynthia N Atchoukeu | Behavior Technician | 811 San Ramon Valley Suite 100, Danville, CA 94526 | 2018-04-18 |
| 1649708850 | Michelle Nicole Kolander | Specialist/Technologist | 209 Rutherford Dr, Danville, CA 94526 | 2017-06-01 |
| 1396155594 | Laurie Elizabeth Wallis | Registered Nurse | 145 Town & Country Blvd., Suite 106, Danville, CA 94526 | 2014-04-28 |
| 1437585486 | Brielle Shipman | Chiropractor | 391 Diablo Rd, Ste B, Danville, CA 94526 | 2013-09-23 |
| 1841626298 | Gloria Lynn Kopp | Nurse Practitioner | 309 Windstream Place, Danville, CA 94526 | 2013-09-17 |
| 1023378635 | Vision Dynamics Optometric Center | Optometrist | 417 Sycamore Valley Road West, Danville, CA 94526 | 2012-05-17 |
| 1346517620 | Adam Wallach,m.d. A Professional Corporation | Specialist | 400 El Cerro Blvd., Ste. 204, Danville, CA 94526 | 2011-11-30 |
| 1184949661 | Judianne Marguriette Walker | Podiatrist | 1320 El Capitan Ste 410, Danville, CA 94526 | 2010-03-29 |
| 1619108685 | Brandon Riggins | Counselor | 115 Town and Country Dr., Danville, CA 94526 | 2009-08-07 |
| Find all providers in zip 94526 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175006 | Lms Medical Services | Dermatology | 1118 N Mccadden Pl, Los Angeles, CA 90038-1213 | 2020-08-17 |
| 1932687241 | Silhouette Medical Group | Dermatology | 101 E Vineyard Ave Ste 107, Livermore, CA 94550-6877 | 2018-07-31 |
| 1780188482 | California Dermatology Physicians | Dermatology | 1902 Fullerton Ave # 102, Corona, CA 92881-3112 | 2018-03-19 |
| 1942709738 | Azadeh Shirazi Md Inc | Dermatology | 7301 Girard Ave Ste 202, La Jolla, CA 92037-5151 | 2018-02-07 |
| 1205342920 | Solano Dermatology Associates Inc | Dermatology | 1700 2nd St Ste 220, Napa, CA 94559-2455 | 2017-12-18 |
| 1831603901 | Laser Medspa, Inc. | Dermatology | 73655 El Paseo Ste N, Palm Desert, CA 92260-4304 | 2017-11-27 |
| 1326427204 | Jennifer Herrmann Md Inc | Dermatology | 421 N Rodeo Dr Ste 7, Beverly Hills, CA 90210-4514 | 2015-05-25 |
| 1235540196 | Microsurgery Goup | Dermatology | 21039 S Figueroa Ave Suite 201, Carson, CA 90745-7042 | 2014-05-14 |
| 1811261183 | Robert Ray Nettles | Dermatology | 8500 Wilshire Blvd Ste 630, Beverly Hills, CA 90211-3139 | 2012-03-02 |
| 1164748737 | Jane Chung | Dermatology | 895 E Fremont Ave Ste 201, Sunnyvale, CA 94087-2973 | 2010-04-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ADAM GREGORY WALLACH.
| 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.