MS. SOMMER SADE' WALLACE M. DIV
NPI 1083267751
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since July 22, 2019
3491 KURTZ ST STE 150, SAN DIEGO, CA 92110(619) 320-2404 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Oct 26, 2023, Jul 22, 2019 (3 updates tracked since 2019).

About Ms. Sommer Sade' Wallace M. Div NPPES

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

MS. SOMMER SADE' WALLACE M. DIV (NPI 1083267751) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1083267751
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. SOMMER SADE' WALLACECredential: M. DIV
Location Address3491 KURTZ ST STE 150San Diego, CA 92110-4430
Mailing Address3491 Kurtz St Ste 150San Diego, CA 92110-4430 · (980) 200-7138
Sole ProprietorNo
Enumeration DateJuly 22, 2019
Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1083267751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
3491 KURTZ ST STE 150, San Diego, CA 92110

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.

Case Manager/Care Coordinator
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
Rehabilitation Practitioner
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
Social Worker (Clinical)
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
Rehabilitation Practitioner
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
Peer Specialist
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
Case Manager/Care Coordinator
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
Counselor (Addiction (Substance Use Disorder))
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
Rehabilitation Practitioner
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110

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 Sommer Wallace's NPI number?

The NPI number for Sommer Wallace is 1083267751. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Sommer Wallace located?

Sommer Wallace practices at 3491 Kurtz St Ste 150, San Diego, CA 92110. The listed phone number is (619) 320-2404.

What is Sommer Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sommer Wallace was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.