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DR. ANNE M WALLACE M.D. NPI 1699732941


NPI Information

NPI: 1699732941
Provider Name: DR. ANNE M WALLACE, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Organization: REGENTS OF THE UNIVESITY OF CALIFORNIA - UCSD MEDICAL GROUP

PECOS Registration: Yes

Address:
200 W ARBOR DR
SAN DIEGO, CA
ZIP 92103
Phone: (858) 822-6193
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DR. Anne M Wallace, M.D. is a plastic and reconstructive surgery surgery in San Diego, CA with 37 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Anne M Wallace, M.D. NPI is 1699732941. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

200 W ARBOR DR
SAN DIEGO, CA
ZIP 92103-000
Phone: (858) 822-6193
Fax: (858) 822-6194

The NPI 1699732941 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Partial removal of breast (HCPCS:19301)
  • Biopsy or removal of lymph nodes of under the arm, open procedure (HCPCS:38525)
  • Lymph node imaging during surgery (HCPCS:38900)

The enumeration date for this NPI number is 4/28/2006 and was last updated on 7/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryG073000CALIFORNIAYes
22086X0206XSurgerySurgical OncologyG073000CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.