DR. JAMES DAVIS WALLACE (NPI# 1043252919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043252919 |
| Entity Type | Individual |
| Full Name | DR. JAMES DAVIS WALLACE |
| Credential | M.D. |
| Practice Address |
2699 Atlantic Ave Long Beach CA 90806-2710 |
| Practice Telephone | 5624263333 |
| Mailing Telephone | 5624263333 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
G24760 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226005 | James D Wallace | Technician | 67 Don Dale Dr, Foster, WV 25081 | 2020-08-20 |
| 1982173571 | James Preston Wallace II | Clinic/Center | 6234 Castlegate Dr W Apt 8112, Castle Rock, CO 80108-8655 | 2018-11-13 |
| 1356686877 | James Steven Wallace | Physical Therapy Assistant | 449 Main St Apt 131, Anderson, IN 46016-1186 | 2012-12-10 |
| 1033400999 | James Wallace | Durable Medical Equipment & Medical Supplies | 593 Bramlett Way, Powder Springs, GA 30127 | 2011-04-27 |
| 1841591559 | James Leeman Wallace | Massage Therapist | 29650 Sw Courtside Dr, #14, Wilsonville, OR 97070-7482 | 2010-11-11 |
| 1992023212 | James Joseph Wallace | Specialist | 154 Sugar Cane Dr, Hartwell, GA 30643-8120 | 2010-05-11 |
| 1538338413 | James Christopher Wallace | Military Health Care Provider | Uss Ross, Ddg 71, Fpo, AE 09586-1288 | 2008-02-26 |
| 1568664274 | James Christopher Wallace | Emergency Medical Technician, Basic | Cgc Chase (whec-718) Fpo Ap 96662-3932 32nd St, San Diego, CA 92106 | 2007-06-04 |
| 1760683924 | James G Wallace Jr. | Family Medicine | 525 Jay Ave, Brewster, WA 98812-3403 | 2007-05-29 |
| 1922143882 | James B Wallace Jr. | Dentist | 6618 Fm 2100, Crosby, TX 77532 | 2007-02-20 |
| Street Address |
2699 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033194485 | Sheila Ann Salamunovich | Pharmacist | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2005-12-08 |
| 1871149351 | Katherine K Tran | Pharmacist | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2019-08-12 |
| 1023508330 | Laura Sezonov | Pharmacist | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2018-05-11 |
| 1205384823 | Agnes Tan | Nurse Practitioner | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2016-09-12 |
| 1346654365 | Jana Zawadzki Longtine | Internal Medicine | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2014-06-18 |
| 1205240264 | Natasha Dang | Internal Medicine | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2014-06-18 |
| 1790198786 | Jeffrey Wu | Internal Medicine | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2014-06-06 |
| 1093009375 | Michele Lynn Eno | Obstetrics & Gynecology | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2011-06-04 |
| 1861718397 | Chau Lien Nguyen | Internal Medicine | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2010-04-08 |
| 1629215520 | James K Tam | Internal Medicine | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2009-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1174927925 | Bradley Schlussel | Internal Medicine | 424 W Park Ave, 2nd Floor, Long Beach, NY 11561-3129 | 2014-10-22 |
| 1255534087 | Long Beach Rheumatology, PC | Internal Medicine | 759 Lincoln Blvd, Long Beach, NY 11561-2355 | 2007-06-08 |
| 1659583805 | Bruce Jay Nitsberg | Internal Medicine | 860 East Broadway, #6u, Long Beach, NY 11561 | 2007-05-03 |
| 1295773257 | Fernando Ravessoud, M.d. Inc. | Internal Medicine | 3918 Long Beach Blvd, Suite 180, Long Beach, CA 90807-2666 | 2006-06-03 |
| 1962016402 | Pih Health Physicians | Internal Medicine | 2220 Clark Ave, Long Beach, CA 90815-2521 | 2020-09-02 |
| 1861718397 | Chau Lien Nguyen | Internal Medicine | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2010-04-08 |
| 1215060199 | Prohealth Partners, A Medical Group, Inc. | Internal Medicine | 3816 Woodruff Ave, Suite 412, Long Beach, CA 90808-2147 | 2007-03-13 |
| 1760520886 | Arthur Lorber, M.d., Inc | Internal Medicine | 3918 Long Beach Blvd, Suite 180, Long Beach, CA 90807-2666 | 2007-02-01 |
| 1811910847 | Geoffrey S Dolan | Internal Medicine | 3816 Woodruff Ave, Suite 412, Long Beach, CA 90808-2147 | 2006-07-25 |
| 1316969629 | Michael S Maehara | Internal Medicine | 2220 Clark Ave, Long Beach, CA 90815-2521 | 2006-07-24 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.