MS. SANDRA LOUISE WALLACE MD
NPI 1235140930
Internal Medicine - Infectious Disease in Pasadena, CA

Q: What is Sandra Wallace's NPI number?

The NPI number for Sandra Wallace is 1235140930. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is Sandra Wallace's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Wallace was last updated on February 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 10, 2006PECOS Enrolled

50 ALESSANDRO PL, SUITE 360, PASADENA, CA 91105(626) 793-6133(626) 793-6135 Get Directions Write a Review

NPPES record last updated: February 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Sandra Louise Wallace Md NPPES

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

MS. SANDRA LOUISE WALLACE MD (NPI 1235140930) is an individual infectious disease provider in Pasadena, California, licensed in California (G403910) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235140930

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameMS. SANDRA LOUISE WALLACECredential: MD

Location Address50 ALESSANDRO PL, SUITE 360Pasadena, CA 91105-3149

Mailing AddressPo Box 1449Brea, CA 92822-1449 · (714) 996-1633 · Fax (714) 996-9267

Phone(626) 793-6133

Fax(626) 793-6135

Sole ProprietorYes

Enumeration DateAugust 10, 2006

Last NPPES UpdateFebruary 7, 2011

✔ NPI 1235140930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in CA · G403910

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

50 ALESSANDRO PL, Pasadena, CA 91105

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Other Identifiers 5

Medicaid00G403910CA

Other110010430Railroad Retirement

Medicare UPINA92183

Medicare ID-Type UnspecifiedG40391CA

Other00G403910CA · Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Sandra Louise Wallace Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 91105 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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.

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