DAVID WALLACE M.S. CCC-SLP
NPI 1174015499
Speech-Language Pathologist in Sacramento, CA

Q: What is David Wallace's NPI number?

The NPI number for David Wallace is 1174015499. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Q: What is David Wallace's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for David Wallace was last updated on August 30, 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.

Active since June 01, 2018Accepts Medicare Assignment

4850 NATOMAS BLVD APT 127M, SACRAMENTO, CA 95835(209) 479-9966 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2023, Feb 25, 2020 (2 updates tracked since 2020).

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About David Wallace M.s. Ccc-slp NPPES

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

DAVID WALLACE M.S. CCC-SLP (NPI 1174015499) is an individual speech-language pathologist provider in Sacramento, California, licensed in California (32521) and active in the NPI registry since June 2018. He maintains a secondary practice location in Hawthorne and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174015499

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameDAVID WALLACECredential: M.S. CCC-SLP

Location Address4850 NATOMAS BLVD APT 127MSacramento, CA 95835-1266

Mailing Address4850 Natomas Blvd Apt 127mSacramento, CA 95835-1266 · (209) 479-9966

Phone(209) 479-9966

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 1, 2018

Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1174015499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 32521

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Also ListedSpecialist/Technologist · Speech-Language AssistantTaxonomy 2355S0801X · License 3499 (CA)

4850 NATOMAS BLVD APT 127M, Sacramento, CA 95835

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Secondary Practice Location 1

Location 111840 S La Cienega BlvdHawthorne, CA 90250-3459 · Phone (242) 269-3400 · Fax (310) 882-5451

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

David Wallace M.s. Ccc-slp 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 ID4385114628

PECOS Enrollment IDI20260527003970

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 David Wallace's NPI number?

The NPI number for David Wallace is 1174015499. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is David Wallace located?

David Wallace practices at 4850 Natomas Blvd Apt 127M, Sacramento, CA 95835. The listed phone number is (209) 479-9966.

What is David Wallace's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is David Wallace enrolled in Medicare?

Yes. David 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 David Wallace was last updated on August 30, 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.