ERIC WALLACE MD NPI 1578502191

NPI Information

  • NPI: 1578502191
  • Provider Name: ERIC WALLACE, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 168 N BRENT ST
    SUITE 402
    VENTURA, CA
    ZIP 93003
  • Phone: (888) 234-0004

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NPI Details

Eric Wallace, MD is a diagnostic radiology radiology in Ventura, CA with 27 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Eric Wallace, MD NPI is 1578502191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

168 N BRENT ST
SUITE 402
VENTURA, CA
ZIP 93003-817
Phone: (888) 234-0004
Fax: (805) 641-3965

The NPI 1578502191 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.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Mri scan of blood vessels of neck before and after contrast (HCPCS:70549)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray series of abdomen with single x-ray of chest (HCPCS:74022)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of bone of eye socket, face, and/or neck before and after contrast (HCPCS:70543)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of abdomen, 2 views (HCPCS:74019)

The enumeration date for this NPI number is 6/6/2006 and was last updated on 11/14/2017.

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
12085R0202XRadiologyDiagnostic RadiologyA85195CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WA85195AMEDICARE PINCALIFORNIA
2P00232102MEDICARE PINCALIFORNIA
3I30144MEDICARE UPIN
400A851950OTHERCALIFORNIABLUESHIELD OF CA
500A851950MEDICAIDCALIFORNIA

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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