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DR. JAMES DORAN WALLACE P.A.,D.C
NPI 1013124908
Physician Assistant - Medical in Roseville, CA

Active since May 17, 2007
1650 LEAD HILL BLVD, SUITE 600, ROSEVILLE, CA 95661(916) 765-3785(916) 361-9869 Get Directions Write a Review

NPPES record last updated: May 16, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. James Doran Wallace P.a.,d.c NPPES

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

DR. JAMES DORAN WALLACE P.A.,D.C (NPI 1013124908) is an individual medical provider in Roseville, California, licensed in California (PA14039) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1013124908
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDR. JAMES DORAN WALLACECredential: P.A.,D.C
Location Address1650 LEAD HILL BLVD, SUITE 600Roseville, CA 95661-3061
Mailing Address8948 Salmon Falls DrSacramento, CA 95826-1923 · (916) 765-3785 · Fax (916) 361-9869
Phone(916) 765-3785
Fax(916) 361-9869
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateMay 16, 2009
✔ NPI 1013124908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA14039
Also ListedChiropractor · OrthopedicTaxonomy 111NX0800X · License 12087 (CA)
1650 LEAD HILL BLVD, Roseville, CA 95661
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Other Providers at the Same Location NPPES 10

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

BRYAN ROBERT PHILLIPS PT
Physical Therapist (Orthopedic)
1650 LEAD HILL BLVD, 300
ROSEVILLE, CA 95661
Placer County (916) 677-1210
KEVIN DUMITRU MPT
Physical Therapist (Orthopedic)
1650 LEAD HILL BLVD, SUITE 300
ROSEVILLE, CA 95661
Placer County (916) 677-1210
KRISTIN WETTER PT
Physical Therapist (Orthopedic)
1650 LEAD HILL BLVD, 300
ROSEVILLE, CA 95661
Placer County (916) 677-1210
DR. NALINI G PRASAD MD
Dermatology
1650 LEAD HILL BLVD, SUITE 400
ROSEVILLE, CA 95661
Placer County (916) 783-0580
NEIL A VAN DYCK, DPM, PODIATRY CORPORATION
Podiatrist
1650 LEAD HILL BLVD, # 100
ROSEVILLE, CA 95661
Placer County (916) 786-3434
AUBREY TENNANT DPT
Physical Therapist (Orthopedic)
1650 LEAD HILL BLVD
ROSEVILLE, CA 95661
Placer County (916) 677-1210
SACRAMENTO SPINE & PHYSICAL THERAPY INC.
Physical Therapist (Orthopedic)
1650 LEAD HILL BLVD, 300
ROSEVILLE, CA 95661
Placer County (916) 677-1210
VITALITY FRP MULTIDISCIPLINARY PSYCHOLOGY AND PHYSIOTHERAPY FOR CHRONI
Psychologist (Clinical)
1650 LEAD HILL BLVD
ROSEVILLE, CA 95661
Placer County (510) 967-2474

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 James Wallace's NPI number?

The NPI number for James Wallace is 1013124908. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is James Wallace located?

James Wallace practices at 1650 Lead Hill Blvd Suite 600, Roseville, CA 95661. The listed phone number is (916) 765-3785.

What is James Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for James Wallace was last updated on May 16, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.