WALLACE HOME MEDICAL SUPPLIES (NPI# 1790947828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790947828 |
| Entity Type | Organization |
| Organization Name | WALLACE HOME MEDICAL SUPPLIES |
| Practice Address |
549 10th St Paso Robles CA 93446-2510 |
| Practice Telephone | 8052383935 |
| Mailing Telephone | 8052383935 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2013-06-17 |
| Authorized Official Name | MR. TRAGO WALLACE (PRESIDENT) |
| Authorized Official Telephone | 8052383935 |
| Authorized Official Credential | ATS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DME03195F | 05 | |
| CA | BLUE SHIELD | ZZZ 08974 Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902200918 | Wallace Home Medical Supplies | Durable Medical Equipment & Medical Supplies | 12310 Los Osos Valley Rd, San Luis Obispo, CA 93405-7220 | 2014-10-20 |
| 1215096466 | Wallace Home Medical Supplies | Durable Medical Equipment & Medical Supplies | 1414 Park St, Paso Robles, CA 93446-2160 | 2006-12-06 |
| Street Address |
549 10TH ST |
| City | PASO ROBLES |
| State | CA |
| Zip Code | 93446-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912401241 | Avery Acupuncture & Natural Medicine Inc. | Acupuncturist | 1704 Spring St, Suite 202, Paso Robles, CA 93446 | 2018-03-21 |
| 1326597022 | Jennifer Beck | Nutritionist | 110 Hanson Rd., Paso Robles, CA 93446 | 2016-09-23 |
| 1083063465 | Jennifer Owens | Speech-Language Pathologist | 2445 Elk Point, Paso Robles, CA 93446 | 2016-06-07 |
| 1548668478 | Cherie Lou Fajardo Lamson | Pharmacist | 2305 Theathre Dr, Target Pharmacy, Paso Robles, CA 93446 | 2014-12-09 |
| 1710322292 | Teri M Warkentin | Counselor | 423 Montebello Oaks Dr., Paso Robles, CA 93446 | 2013-05-09 |
| 1396087862 | San Luis Obispo County Drug and Alcohol Services | Clinic/Center | 2545 Spring St, Paso Robles, CA 93446 | 2013-03-22 |
| 1891046173 | Donald L Stanton | Dermatology | 3432 Las Tablas Willow Creek Rd., Paso Robles, CA 93446 | 2012-09-26 |
| 1942559778 | Jeffrey W Akins | Physical Therapist | 1345 Park Street, Paso Robles, CA 93446 | 2012-09-07 |
| 1669749883 | Ami Kendra Manwaring | Social Worker | 311 Sixth Street, Templeton, CA 93446 | 2011-11-17 |
| 1275812695 | Jared C Smith | Marriage & Family Therapist | 800 Niblick Road, Paso Robles, CA 93446 | 2011-08-16 |
| Find all providers in zip 93446 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134566060 | Orion Orthopedics | Durable Medical Equipment & Medical Supplies | 840 Hacienda Cir, Paso Robles, CA 93446-5805 | 2013-06-01 |
| 1336454693 | Advanced Keyboard Technology Inc | Durable Medical Equipment & Medical Supplies | 2004 Dallons Dr, Paso Robles, CA 93446-8537 | 2010-08-11 |
| 1760684567 | Vital Air | Durable Medical Equipment & Medical Supplies | 935 Riverside Ave # 2c, Paso Robles, CA 93446-2653 | 2007-06-04 |
| 1154462984 | F.i.t.t. Medical | Durable Medical Equipment & Medical Supplies | 821 Pine St, Suite B, Paso Robles, CA 93446-2862 | 2007-02-12 |
| 1801979117 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 2305 Theatre Dr, Paso Robles, CA 93446-9604 | 2006-10-23 |
| 1831290014 | Michael's Optical Inc. | Durable Medical Equipment & Medical Supplies | 145 Niblick Rd, Paso Robles, CA 93446-4844 | 2006-09-26 |
| 1265541692 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1151 Creston Road, Williams Plaza, Paso Robles, CA 93446-3031 | 2006-08-30 |
| 1427167832 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 2424 Spring Street, Paso Robles, CA 93446-1226 | 2006-08-30 |
| 1225071012 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 187 Niblick Rd, Paso Robles, CA 93446-4845 | 2006-06-13 |
| 1184670002 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 189 Niblick Rd, Paso Robles, CA 93446 | 2006-05-25 |
| Find all providers in PASO ROBLES | ||||
| City | PASO ROBLES |
| Zip Code | 93446 |
Please comment or provide details below to improve the information on WALLACE HOME MEDICAL SUPPLIES.
| 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.