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DR. GRANT CHARLES WALLACE M.D.
NPI 1043208101
Radiology - Diagnostic Radiology in Oceanside, CA

Active since October 12, 2005
200 MERCY CIRCLE, OCEANSIDE, CA 92055(760) 719-3479 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Grant Charles Wallace M.d. NPPES

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

DR. GRANT CHARLES WALLACE M.D. (NPI 1043208101) is an individual diagnostic radiology provider in Oceanside, California, licensed in California (G80310) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1043208101
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. GRANT CHARLES WALLACECredential: M.D.
Location Address200 MERCY CIRCLEOceanside, CA 92055
Mailing Address200 Mercy CircleOcenside, CA 92055 · (760) 719-3479
Phone(760) 719-3479
Sole ProprietorNo
Enumeration DateOctober 12, 2005
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1043208101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · G80310
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
200 MERCY CIRCLE, Oceanside, CA 92055
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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.

MARIA J HERRERA PH.D.
Psychologist (Clinical)
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (510) 542-0859
SHERRI MARTINEZ LMFT, ADCII
Counselor (Addiction (Substance Use Disorder))
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 725-0063
DR. ASHLEY BITTLE LCSW, PSY.D.
Psychologist (Clinical)
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-3322
MISS KELLY CAROL PENG D.O
Military Health Care Provider
200 MERCY CIRCLE, EMERGENCY MEDICINE DEPARTMENT
OCEANSIDE, CA 92055
San Diego County (760) 719-3994
CAROLYN STEINLAGE DPT
Physical Therapist
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-3791
SHANE MCGUIRE FMF RECON IDC
Military Health Care Provider (Independent Duty Corpsman)
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (760) 725-8912
MELINDA WEE FAH MARTINEZ PA
Physician Assistant
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-4550
ALEXANDER JEFFREY NELSON PA-C
Physician Assistant
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (760) 725-1288

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 Grant Wallace's NPI number?

The NPI number for Grant Wallace is 1043208101. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Grant Wallace located?

Grant Wallace practices at 200 Mercy Circle, Oceanside, CA 92055. The listed phone number is (760) 719-3479.

What is Grant Wallace's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Grant Wallace was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.