MR. DOUGLAS CECIL WALLACE (NPI# 1811181498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811181498 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS CECIL WALLACE |
| Credential | PHD |
| Practice Address |
2014 Hewitt Hall University of California Irvine Irvine CA 92697-3940 |
| Practice Telephone | 9498243490 |
| Mailing Telephone | 9498243490 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376698753 | Douglas W. Wallace | Oral & Maxillofacial Surgery | 5188 Winton Rd, Fairfield, OH 45014-2900 | 2007-01-24 |
| 1063451144 | Douglas C Wallace | Family Medicine | 3154 Park St, Grove City, OH 43123-3222 | 2006-06-05 |
| 1730794041 | Douglas Wallace | Hearing Instrument Specialist | 95 Post Office Park, Wilbraham, MA 01095-1248 | 2020-09-14 |
| 1285098806 | Douglas Wallace | Emergency Medicine | 625 19th St S, Birmingham, AL 35233 | 2016-04-09 |
| 1013058932 | Douglas Mckay Wallace | Psychiatry & Neurology | 1201 Nw 16th St, Miami Va Medical Center, Dept of Neurology, Miami, FL 33125-1624 | 2007-02-12 |
| 1851470033 | Douglas Charles Wallace | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3900 St Francis Way, Ste 201, Lafayette, IN 47905-4923 | 2006-11-06 |
| 1881657989 | Douglas M Wallace | Emergency Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2006-04-10 |
| 1083608053 | Douglas W Wallace | Radiology | 2300 Manchester Expy, Ste A001, Columbus, GA 31904-6802 | 2005-09-07 |
| Street Address |
2014 HEWITT HALL UNIVERSITY OF CALIFORNIA IRVINE |
| City | IRVINE |
| State | CA |
| Zip Code | 92697-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235154485 | Mariella Simon | Specialist | 2014 Hewitt Hall, Irvine, CA 92697-0001 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174001507 | Melanie Bernus Tallakson | Nurse Practitioner | 1100 Gottschalk Medical Plaza, Irvine, CA 92697 | 2018-07-28 |
| 1134514888 | Jessica Shiu | Dermatology | 118 Medical Surge 1, Irvine, CA 92697 | 2015-03-31 |
| 1649513508 | Melissa Shive | Dermatology | Uci Dermatology 1 Medical Plaza Drive, Irvine, CA 92697 | 2013-03-29 |
| 1760740526 | Adam Mason | Anesthesiology | 101 The City Dr. S., Uci Department of Anesthesiology, Anaheim, CA 92697 | 2012-04-30 |
| 1295966489 | Thu Michelle Tran | Nurse Practitioner | C240 Medical Science I, Uci Infusion Center, Irvine, CA 92697 | 2009-08-05 |
| 1760667554 | Catherine Marie Mcadams-ortiz | Nurse Practitioner | 1100 Gottschalk Medical Plaza Drive, University of California, Irvine, Irvine, CA 92697 | 2007-12-31 |
| 1386767630 | Gary W Cole | Dermatology | Dept. of Dermatology, Univ. of Calif., Irvine, Medical Sciences 1, Rm C340, Irvine, CA 92697 | 2007-04-09 |
| 1982729786 | Helen C. Tseng | Ophthalmology | 118 Med Surge 1 Attn Karen Tighe, Uc Irvine, Dept of Ophthalmology, Irvine, CA 92697 | 2007-03-20 |
| 1710065453 | Ronald Kurtz | Ophthalmology | 118 Med Surge 1, University of California, Irvine, Irvine, CA 92697 | 2006-11-01 |
| 1871509026 | Vivien Chan | Psychiatry & Neurology | 501 Student Health, Irvine, CA 92697 | 2006-07-31 |
| Find all providers in zip 92697 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961839 | Wenhui Laura Li | Medical Genetics, Ph.D. Medical Genetics | 25 Mauchly Ste 313, Irvine, CA 92618-2361 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073132767 | Deaunne Denmark | Medical Genetics, Ph.D. Medical Genetics | 373 S Monroe St Ste 202, San Jose, CA 95128-5126 | 2020-04-13 |
| 1578012498 | Andre Turner | Medical Genetics, Ph.D. Medical Genetics | 120 N 13th Ave Apt D, Upland, CA 91786-5584 | 2016-10-04 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1952856205 | Sana Alexandrovna Nodelman | Medical Genetics, Ph.D. Medical Genetics | 7224 Hillside Ave, 26, Los Angeles, CA 90046-2359 | 2016-08-16 |
| 1124496690 | Renz Lorenz Gatchalian | Medical Genetics, Ph.D. Medical Genetics | 2416 W Tennyson Rd Apt 308, Hayward, CA 94545-4158 | 2015-09-14 |
| 1285902080 | Gail Humble | Medical Genetics, Ph.D. Medical Genetics | 101 N PCh Hwy Ste 102, Redondo Beach, CA 90277-3149 | 2011-12-07 |
| 1598040784 | Maternal Fetal Medicine Medical Group of Southern California | Medical Genetics, Ph.D. Medical Genetics | 207 S. Santa Anita Street, Suite 338, Sangabriel, CA 91776-1160 | 2011-10-19 |
| 1518129048 | Dr Brian F Topkis A Medical Group | Medical Genetics, Ph.D. Medical Genetics | 2021 Mt Diablo Blvd #100, Walnut Creek, CA 94596 | 2008-06-26 |
| 1396946224 | Ramiro Futalan Sr. | Medical Genetics, Ph.D. Medical Genetics | 8292 Telegraph Rd, Downey, CA 90240-2277 | 2007-05-29 |
| 1518178110 | Fatolah Ferdowsian | Medical Genetics, Ph.D. Medical Genetics | 8845 E Crestview Ln, Anaheim, CA 92808-1664 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
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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.