Leandra Wallace (NPI# 1851762553, PAC ID# 0648563247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851762553 |
| PAC ID by PECOS | 0648563247 |
| Professional Enrollment ID | I20160719002532 |
| Full Name | Leandra Wallace |
| Organization Legal Name | MARIN HEALTHCARE DISTRICT |
| Address |
11150 California Hwy 1 Point Reyes Station CA 94956 |
| Phone Number | 4156631082 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5698818011 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11150 California Hwy 1, Point Reyes Station, CA 94956 | 4156631082 | MARIN HEALTHCARE DISTRICT |
| Organization Legal Name | MARIN HEALTHCARE DISTRICT |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Randolph | Nurse Practitioner | Marin Healthcare District | 75 Rowland Way, Novato, CA 94945-5054 |
| Daniel Bertheau | Nurse Practitioner | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| James E Price | Cardiovascular Disease (cardiology) | Marin Healthcare District | 558 3rd St W, Sonoma, CA 95476-6502 |
| Wanda Zhao | Physician Assistant | Marin Healthcare District | 1100 S Eliseo Dr, 2a, Greenbrae, CA 94904-2017 |
| Neha S Marfatia | Internal Medicine | Marin Healthcare District | 23 Reed Blvd, Suite 120, Mill Valley, CA 94941-2301 |
| Kelliann Marie Masterson | Physician Assistant | Marin Healthcare District | 75 Rowland Way, Novato, CA 94945-5054 |
| Maria Jabson Dalmacio | Nurse Practitioner | Marin Healthcare District | 1341 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2000 |
| Erica Sutherland | Nurse Practitioner | Marin Healthcare District | 1341 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2000 |
| Sebastien C Fromont | Psychiatry | Marin Healthcare District | 1341 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2000 |
| James Richard Adams | Cardiovascular Disease (cardiology) | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| Street Address |
11150 CALIFORNIA HWY 1 |
| City | POINT REYES STATION |
| State | CA |
| Zip | 94956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Bertheau | Nurse Practitioner | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| James Richard Adams | Cardiovascular Disease (cardiology) | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| David Sperling | Cardiovascular Disease (cardiology) | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| Elizabeth N Gonzales | Registered Dietitian Or Nutrition Professional | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| Lydia G Schindler | Family Practice | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| Margaret L Baer | Cardiovascular Disease (cardiology) | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| Margaret Lenora Shirley | Psychiatry | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| Carolyn R Chase | Nurse Practitioner | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| Michele Jodoin | Physician Assistant | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| Richard I Bernstein | Endocrinology | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Karr Jr. | Psychologist, Clinical | County of Marin | 100 6th St, Point Reyes Station, CA 94956 |
| Amy Schliftman | Physical Therapy | 11431 Ca Hwy 1 9, Point Reyes Station, CA 94956 | |
| Basil C Hamblin | Family Medicine | 11150 Route 1, Point Reyes Station, CA 94956 | |
| Jeffrey J Devido | Psychiatry | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| Jennifer M Hagstrom | Psychiatry | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| Steven Aussenberg | Family Medicine | Coastal Health Alliance | 3 6th St, Point Reyes Station, CA 94956-0910 |
| Elizabeth Creighton O'brien | Clinical Social Worker | Coastal Health Alliance | 3 6th St, Point Reyes Station, CA 94956-0910 |
| Joseph Blumenthal | Cardiovascular Disease (cardiology) | Coastal Health Alliance | 3 6th St, Point Reyes Station, CA 94956-0910 |
| Gabriel Klapman | Family Medicine | Coastal Health Alliance | 3 6th St, Point Reyes Station, CA 94956-0910 |
| Anna Kristina O'malley | Family Medicine | Coastal Health Alliance | 3 6th St, Point Reyes Station, CA 94956-0910 |
| Find all physicians in zip 94956 | |||
| City | POINT REYES STATION |
| Zip Code | 94956 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | POINT REYES STATION + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Leandra Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.