DR. DANIEL G WALLACE (NPI# 1184656860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184656860 |
| Entity Type | Individual |
| Full Name | DR. DANIEL G WALLACE |
| Credential | MD |
| Practice Address |
3875 Avocado Blvd La Mesa CA 91941 |
| Mailing Address |
393 E Walnut St Pasadena CA 91188-0001 |
| Practice Telephone | 8002905000 |
| Mailing Telephone | 8002905000 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G71835 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841771292 | Daniel Wallace | Counselor | 1001 Blackhawk Dr, University Park, IL 60484-3213 | 2018-08-23 |
| 1982608717 | Daniel J Wallace | Internal Medicine | 8750 Wilshire Blvd, Ste 350, Beverly Hills, CA 90211-2703 | 2005-06-09 |
| 1902395650 | Daniel Wallace | Social Worker | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2018-05-08 |
| 1083848063 | Daniel Charles Wallace | Family Medicine | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2009-05-06 |
| 1275525875 | Daniel Leland Wallace | Family Medicine | 25 Michigan St Ne, Suite 5100, Grand Rapids, MI 49503-2515 | 2005-08-19 |
| Street Address |
3875 AVOCADO BLVD |
| City | LA MESA |
| State | CA |
| Zip Code | 91941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336670611 | Hairan Zhu | Internal Medicine | 3875 Avocado Blvd, La Mesa, CA 91941-7303 | 2017-03-27 |
| 1427324672 | Darcy Fox Mock | Internal Medicine | 3875 Avocado Blvd, La Mesa, CA 91941-7303 | 2012-03-31 |
| 1295000537 | Kimberley Glasson | Pharmacist | 3875 Avocado Blvd, La Mesa, CA 91941-7303 | 2012-03-20 |
| 1083855019 | Neil Richard Hirschorn | Pharmacist | 3875 Avocado Blvd, La Mesa, CA 91941-7303 | 2009-03-21 |
| 1962665711 | Indushree Ghosh | Family Medicine | 3875 Avocado Blvd, Primary Care 2nd Floor, La Mesa, CA 91941-7303 | 2008-07-02 |
| 1689841322 | Theodore Chiwan Ng | Pediatrics | 3875 Avocado Blvd, La Mesa, CA 91941-7303 | 2008-05-12 |
| 1326216250 | Samuel C Hu | Pharmacist | 3875 Avocado Blvd, La Mesa, CA 91941-7303 | 2008-02-13 |
| 1598813180 | Kaiser Foundation Health Plan Inc | Pharmacy | 3875 Avocado Blvd, La Mesa, CA 91941-7303 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914588 | Aja Encinas | Midwife | 9461 Grossmont Summit Drive Suite A, La Mesa, CA 91941 | 2019-10-23 |
| 1750889861 | Kasey Higgins | Nurse Practitioner | 10862 Calle Verde # S93, La Mesa, CA 91941 | 2018-01-24 |
| 1801325238 | Edward Rabinovich, Dds, Inc. | Dentist | 3855 Avocado Blvd., Ste. 250, La Mesa, CA 91941 | 2017-06-08 |
| 1003204140 | Cierra Lancaster | Case Manager/Care Coordinator | 4287 Palm Ave #32, La Mesa, CA 91941 | 2014-12-23 |
| 1710388533 | Affordable In Home Care | Home Health | 7953 Lemon Circle, La Mesa, CA 91941 | 2014-09-11 |
| 1902206063 | Rachel Llanes | Marriage & Family Therapist | 4849 Schuyler Avenue, La Mesa, CA 91941 | 2014-08-26 |
| 1497185540 | Benjamin J Mandel | Dentist | 3835 Avocado Blvd #220, Lamesa, CA 91941 | 2013-11-26 |
| 1487084901 | Accuquest Hearing Centers | Clinic/Center | 5105 Garfield Street, La Mesa, CA 91941 | 2013-11-19 |
| 1447551353 | John Chuol Kuek | Marriage & Family Therapist | 4060 Fairmount Avenue, San Diego, CA 91941 | 2010-11-09 |
| 1588808463 | Aesthetic Arts Institute of Plastic Surgery, LLC | Clinic/Center | 8415 Grant Avenue, La Mesa, CA 91941 | 2009-04-23 |
| Find all providers in zip 91941 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1912297284 | Lee Richard Katzman | Internal Medicine | 7877 Parkway Dr Ste 100, La Mesa, CA 91942-2000 | 2011-04-07 |
| 1740588391 | Venu Prabaker Md Inc | Internal Medicine | 7339 El Cajon Blved, Suite # I, La Mesa, CA 91942 | 2011-03-07 |
| 1730490145 | Robert W. Foster, Md, A Medical Corporation | Internal Medicine | 5565 Grossmont Center Dr Ste 105, La Mesa, CA 91942-3021 | 2010-06-30 |
| 1639235096 | Barzan Mohedin | Internal Medicine | 8860 Center Dr Ste 310, La Mesa, CA 91942-7001 | 2006-12-29 |
| 1609934538 | Nikhil R Gandhi | Internal Medicine | 5555 Grossmont Ctr Dr, La Mesa, CA 91942 | 2006-12-04 |
| 1770689382 | Elahe Toulouie Md Inc | Internal Medicine | 8851 Center Dr Ste 301, La Mesa, CA 91942-3047 | 2006-09-15 |
| 1982614301 | Karen A. Hutchinson | Internal Medicine | 4104 Rising Star Ct, La Mesa, CA 91941-7293 | 2006-08-08 |
| 1801812300 | Ajmel S Sangha | Internal Medicine | 5111 Garfield St Ste B, La Mesa, CA 91941-5103 | 2006-07-15 |
| 1730132457 | Arjun N Reddy | Internal Medicine | 5129 Garfield St, La Mesa, CA 91941 | 2006-05-17 |
| 1265409296 | Khalil A Soomro | Internal Medicine | 5111 Garfield St, Ste B, La Mesa, CA 91941 | 2006-03-08 |
| Find all providers in LA MESA | ||||
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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.