JOHN GEORGE WALLACE JR. M.D.
NPI 1164467320
Emergency Medicine - Emergency Medical Services in Torrance, CA

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
92.21/100
CMS Quality Rating
4101 TORRANCE BLVD, EM DEPT, TORRANCE, CA 90503(310) 540-7676(405) 751-3183 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John George Wallace Jr. M.d. NPPES

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

JOHN GEORGE WALLACE JR. M.D. (NPI 1164467320) is an individual emergency medical services provider in Torrance, California, licensed in California (G45690) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1980).

NPPES Registry Identity

NPI1164467320
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameJOHN GEORGE WALLACE JR.Credential: M.D.
Location Address4101 TORRANCE BLVD, EM DEPTTorrance, CA 90503-4607
Mailing Address4401 W Memorial Rd, Suite 121Oklahoma City, OK 73134-1785 · (405) 751-4664 · Fax (405) 751-3183
Fax(405) 751-3183
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1980
Enumeration DateJune 19, 2006
Last NPPES UpdateSeptember 19, 2012
NPI 1164467320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in CA · G45690
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
4101 TORRANCE BLVD, Torrance, CA 90503

Other Identifiers 3

Medicaid00G456900CA
Medicare UPINA50147CA
Medicare ID-Type UnspecifiedWG45690DCA

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

John George Wallace Jr. M.d. 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 ID3173711553
PECOS Enrollment IDI20101229000775
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
43 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
33 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90503 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.07
Improvement Activities40

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.

General Acute Care Hospital
4101 TORRANCE BLVD
TORRANCE, CA 90503
Pharmacist
4101 TORRANCE BLVD
TORRANCE, CA 90503
Nurse Practitioner (Family)
4101 TORRANCE BLVD
TORRANCE, CA 90503
Clinical Nurse Specialist (Informatics)
4101 TORRANCE BLVD
TORRANCE, CA 90503
Radiology (Diagnostic Radiology)
4101 TORRANCE BLVD
TORRANCE, CA 90503
Anesthesiology
4101 TORRANCE BLVD
TORRANCE, CA 90503
Pharmacist
4101 TORRANCE BLVD
TORRANCE, CA 90503
Emergency Medicine
4101 TORRANCE BLVD
TORRANCE, CA 90503

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 John Wallace's NPI number?

The NPI number for John Wallace is 1164467320. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is John Wallace located?

John Wallace practices at 4101 Torrance Blvd Em Dept, Torrance, CA 90503. The listed phone number is (310) 540-7676.

What is John Wallace's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is John Wallace enrolled in Medicare?

Yes. John Wallace 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 John Wallace was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.