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JAMIE ELISE WALLACH MD
NPI 1154465672
Pediatrics in Alameda, CA

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment
1332 PARK ST STE 202, ALAMEDA, CA 94501(510) 523-3417(510) 521-1659 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, Sep 21, 2016 (2 updates tracked since 2016).

About Jamie Elise Wallach Md NPPES

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

JAMIE ELISE WALLACH MD (NPI 1154465672) is an individual pediatrics provider in Alameda, California, licensed in California (G79903) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1154465672
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJAMIE ELISE WALLACHCredential: MD
Location Address1332 PARK ST STE 202Alameda, CA 94501-4545
Mailing Address1332 Park St Ste 202Alameda, CA 94501-4545 · (510) 523-3417 · Fax (510) 521-1659
Phone(510) 523-3417
Fax(510) 521-1659
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1154465672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G79903
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Obesity MedicineTaxonomy 2080B0002X · License G79903 (CA)
1332 PARK ST STE 202, Alameda, CA 94501
Open in Google Maps ↗

Other Identifiers 1

Medicaid1912186834CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jamie Elise Wallach Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173798303
PECOS Enrollment IDI20120105000238
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

JAMEZE HOWARD REEDUS JAMES MD
Pediatrics
1332 PARK ST STE 202
ALAMEDA, CA 94501
Alameda County (510) 523-3417
AYANNA SALAMA BENNETT MD
Pediatrics
1332 PARK ST STE 202
ALAMEDA, CA 94501
Alameda County (510) 523-3417
GUL SHEHWAR ZAHID MD
Pediatrics
1332 PARK ST STE 202
ALAMEDA, CA 94501
Alameda County (510) 523-3417
DR. INE MARIE LEUS M.D.
Pediatrics
1332 PARK ST STE 202
ALAMEDA, CA 94501
Alameda County (510) 523-3417

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 Jamie Wallach's NPI number?

The NPI number for Jamie Wallach is 1154465672. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Jamie Wallach located?

Jamie Wallach practices at 1332 Park St Ste 202, Alameda, CA 94501. The listed phone number is (510) 523-3417.

What is Jamie Wallach's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jamie Wallach enrolled in Medicare?

Yes. Jamie Wallach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jamie Wallach was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.