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CHRISTOPHER A WALLACE IDC
NPI 1003101775
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since June 10, 2011
34101 FARENHOLT AVE, SAN DIEGO, CA 92134(619) 532-7801 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christopher A Wallace Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTOPHER A WALLACE IDC (NPI 1003101775) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1003101775
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameCHRISTOPHER A WALLACECredential: IDC
Location Address34101 FARENHOLT AVESan Diego, CA 92134-5000
Mailing Address34101 Farenholt AveSan Diego, CA 92134-5000
Phone(619) 532-7801
Sole ProprietorNo
Enumeration DateJune 10, 2011
✔ NPI 1003101775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
34101 FARENHOLT AVE, San Diego, CA 92134
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GABRIEL A MICHAELS IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (216) 701-4316
MR. GABRIEL JOSE SAN PEDRO IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
ALEXANDER BOX
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (843) 605-3091
CHANTE ALLI MOORE
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (215) 681-7866
MR. STEVEN R CURRIER JR. SURFACE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
MARCO OLIVAREZ
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
MR. ANDREW BUD TAYLOR IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE, BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-6233
CALEB DOUGLAS STRICKLIN IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christopher Wallace's NPI number?

The NPI number for Christopher Wallace is 1003101775. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is Christopher Wallace located?

Christopher Wallace practices at 34101 Farenholt Ave, San Diego, CA 92134. The listed phone number is (619) 532-7801.

What is Christopher Wallace's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Christopher Wallace was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.