WALLACE HOME MEDICAL SUPPLIES
NPI 1215096466
Durable Medical Equipment & Medical Supplies in Paso Robles, CA

Q: What is Wallace Home Medical Supplies's NPI number?

The NPI number for Wallace Home Medical Supplies is 1215096466. It was assigned to this organization in the NPPES registry on December 6, 2006.

Q: What is Wallace Home Medical Supplies's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since December 06, 2006

1414 PARK ST, PASO ROBLES, CA 93446(805) 238-3935(805) 238-3974 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wallace Home Medical Supplies NPPES

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

WALLACE HOME MEDICAL SUPPLIES (NPI 1215096466) is a healthcare organization registered as a durable medical equipment & medical supplies in Paso Robles, California and active in the NPI registry since December 2006. The organization lists Matthew Trago Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1215096466

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameWALLACE HOME MEDICAL SUPPLIES

Location Address1414 PARK STPaso Robles, CA 93446-2160

Mailing Address1414 Park StPaso Robles, CA 93446-2160 · (805) 238-3935 · Fax (805) 238-3974

Phone(805) 238-3935

Fax(805) 238-3974

Organization SubpartNo

Authorized OfficialMatthew Trago WallaceOwner · (805) 238-3935

Enumeration DateDecember 6, 2006

Last NPPES UpdateApril 20, 2008

✔ NPI 1215096466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in CA · 103383

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License 18268 (CA)

1414 PARK ST, Paso Robles, CA 93446

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Other Identifiers 3

MedicaidDME03195FCA

Medicare NSC5130840001CA

OtherZZZ 08974 ZCA · Blue Shield Dme Provider

Other Providers at the Same Location NPPES 19

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

MRS. BRENDA G MENDOZA P.T.A.

Physical Therapy Assistant