MR. DEMETRIUS RICHARD WALLACE
NPI 1073186540
Community Health Worker in Victorville, CA

Active since July 21, 2021
13733 ARTHUR DR, VICTORVILLE, CA 92392(760) 912-0467 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Demetrius Richard Wallace NPPES

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

MR. DEMETRIUS RICHARD WALLACE (NPI 1073186540) is an individual community health worker in Victorville, California and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1073186540
Entity TypeIndividualMale
Primary Taxonomy172V00000X
Provider Legal NameMR. DEMETRIUS RICHARD WALLACE
Location Address13733 ARTHUR DRVictorville, CA 92392-0205
Mailing AddressPo Box 1477Victorville, CA 92393-1477
Sole ProprietorNo
Enumeration DateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
NPI 1073186540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

13733 ARTHUR DR, Victorville, CA 92392

Other Providers at the Same Location NPPES

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

Community Health Worker
13733 ARTHUR DR
VICTORVILLE, CA 92392

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 Demetrius Wallace's NPI number?

The NPI number for Demetrius Wallace is 1073186540. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Demetrius Wallace located?

Demetrius Wallace practices at 13733 Arthur Dr, Victorville, CA 92392. The listed phone number is (760) 912-0467.

What is Demetrius Wallace's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Demetrius Wallace was last updated on July 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.