GEORGE CARLETON WALLACE


Address: 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330
Phone: 9517356060

GEORGE CARLETON WALLACE (NPI# 1851302202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851302202
Entity Type Individual
Full Name GEORGE CARLETON WALLACE
Credential MD
Practice Address 341 Magnolia Ave
Suite 101
Corona
CA 92879-3330
Practice Telephone 9517356060
Practice Fax Number 9517354510
Mailing Telephone 9517356060
Mailing Fax Number 9517354510
Enumeration Date 2006-08-11
Last Update Date 2011-03-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery A17429 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE SHIELD 00A174290 01
CA 00A174290 05
CA BLUE CROSS 00A174290 01
RR MEDICARE 200034605 01

Other Providers GEORGE WALLACE

NPI Name Taxonomy Address Enumeration
1063559748 George Marvin Wallace Dentist 710 N Elm St, High Point, NC 27262-3918 2007-01-31
1811001696 George F. Wallace Podiatrist 90 Bergen St, Doc 4500, Newark, NJ 07103-2425 2006-08-18

Office Location

Street Address 341 MAGNOLIA AVE
SUITE 101
City CORONA
State CA
Zip Code 92879-3330

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578532545 Paul Richard Reiman Orthopaedic Surgery 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 2006-03-14
1699215087 Takuma Richard Shito Physical Medicine & Rehabilitation 341 Magnolia Ave, Suite 103, Corona, CA 92879-3330 2017-03-03
1043670680 Uc Irvine Health - Corona (urology) Clinic/Center 341 Magnolia Ave, Corona, CA 92879-3330 2016-02-24
1639539265 Uc Irvine Health- Corona (neurology) Clinic/Center 341 Magnolia Ave, Corona, CA 92879-3330 2016-02-24
1992165534 Uc Irvine Health- Corona (obgyn) Clinic/Center 341 Magnolia Ave, Corona, CA 92879-3330 2016-02-24
1033579743 Uc Irvine Health- Corona (emergency Medicine) Clinic/Center 341 Magnolia Ave, Corona, CA 92879-3330 2016-02-24
1912362104 Kaylee Smith Physical Therapist 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 2015-12-15
1124496773 Uc Irvine Health - Corona (medicine) Clinic/Center 341 Magnolia Ave, Suite 205, Corona, CA 92879-3330 2015-09-11
1467837716 Andrew W. Shaw Physician Assistant 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 2015-07-28
1508283664 Ralph Gozun Physical Therapist 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 2014-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475722 Tahmea Henderson Behavior Technician 225 Rincon St. #219, Corona, CA 92879 2020-10-20
1669084828 Kimberly O Harris Behavioral Analyst 225 E. Rincon St., Suite 219, Corona, CA 92879 2020-08-19
1962014381 Mario Javier Herrera Nurse Practitioner 2130 High Pointe Dr, Apt 108, Corona, CA 92879 2020-08-18
1841659117 Sleep & Cpap Center Inc Clinical Medical Laboratory 800 Magnolia Avenue, Suite 101, Corona, CA 92879 2016-02-16
1497151203 Rafik Riad Dentist 817 Villa Montes Cir., Corona, CA 92879 2014-11-06
1326441551 Ying Zhang Howe Acupuncturist 720 Magnolia Ave. #b3, Corona, CA 92879 2014-10-02
1164823233 Piyush Sakhareliya Pharmacist 2230 Treemont Pl, Apt#207, Corona, CA 92879 2014-09-09
1053711739 Brandice Medical Associates Inc Clinical Medical Laboratory 13575 Jasper Loop, Corona, CA 92879 2014-08-29
1982956058 Nja Therapy Services, Inc. Day Training, Developmentally Disabled Services 1655 E 6th St Suite 204, Corona, CA 92879 2012-10-12
1356616064 Corona Surgical LLC Clinic/Center 2370 Anselmo Drive, Corona, CA 92879 2012-03-13
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770851339 Robert Leland Horner Sr. Orthopaedic Surgery 3981 Holly Springs Dr, Corona, CA 92881-8215 2011-12-09
1598872657 Corona Orthopaedic Associates Medical Group Incorporated Orthopaedic Surgery 341 Magnolia Avenue, Suite 101, Corona, CA 92879-3331 2006-08-24
1164483699 Vicente R Bernabe Orthopaedic Surgery 1191 Magnolia Ave, Ste D-152, Corona, CA 92879-3215 2006-04-02
1578532545 Paul Richard Reiman Orthopaedic Surgery 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 2006-03-14
1124025598 Michael T. Mai Orthopaedic Surgery 21634 Retreat Pkwy, Corona, CA 92883-6100 2005-06-30
1730523945 Nasser Heyrani Orthopaedic Surgery 341 Magnolia Ave Ste 101, Corona, CA 92879-3331 2013-04-18
1386941219 Reza Roghani Orthopaedic Surgery 341 Magnolia Ave Ste 101, Corona, CA 92879-3331 2011-02-10
1467520189 John Stephen Locke Orthopaedic Surgery 341 Magnolia Ave, Ste 101, Corona, CA 92879-3330 2006-12-01
1295837342 Richard Leino Rouhe Orthopaedic Surgery 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 2006-09-01
1629089073 Ghassan Said Tooma Orthopaedic Surgery 341 Magnolia Ave, Ste 101, Corona, CA 92879-3331 2006-08-11
Find all providers in CORONA

Competitor

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City CORONA
Zip Code 92879

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Dataset Information

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.

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