DR. JAMES DORAN WALLACE P.A.D.C NPI 1013124908

NPI Information

  • NPI: 1013124908
  • Provider Name: DR. JAMES DORAN WALLACE, P.A.,D.C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 1650 LEAD HILL BLVD
    SUITE 600
    ROSEVILLE, CA
    ZIP 95661
  • Phone: (916) 765-3785

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NPI Details

DR. James Doran Wallace, P.A.,D.C is a medical physician assistant in Roseville, CA. DR. James Doran Wallace, P.A.,D.C NPI is 1013124908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1650 LEAD HILL BLVD
SUITE 600
ROSEVILLE, CA
ZIP 95661-061
Phone: (916) 765-3785
Fax: (916) 361-9869

The enumeration date for this NPI number is 5/17/2007 and was last updated on 5/16/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NX0800XChiropractorOrthopedic12087CALIFORNIANo
2363AM0700XPhysician AssistantMedicalPA14039CALIFORNIAYes

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: 11/21/2025

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