WILLIAM DEAN WALLACE MD
NPI 1245269943
Pathology - Anatomic Pathology & Clinical Pathology in Los Angeles, CA

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
1500 SAN PABLO ST, LOS ANGELES, CA 90033(323) 442-2582 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2020, Sep 10, 2019 (2 updates tracked since 2019).

About William Dean Wallace Md NPPES

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

WILLIAM DEAN WALLACE MD (NPI 1245269943) is an individual anatomic pathology & clinical pathology provider in Los Angeles, California, licensed in California (A77909) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2000).

NPPES Registry Identity

NPI1245269943
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameWILLIAM DEAN WALLACECredential: MD
Location Address1500 SAN PABLO STLos Angeles, CA 90033-5313
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-2582
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2000
Enumeration DateJuly 3, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
NPI 1245269943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in CA · A77909
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1500 SAN PABLO ST, Los Angeles, CA 90033

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

William Dean Wallace 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 ID4082648860
PECOS Enrollment IDI20050921000500
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 15

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.

Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
510 services67 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
427 services46 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
335 services114 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
291 services191 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
141 services110 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
138 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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.

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.

Nurse Anesthetist, Certified Registered
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Internal Medicine
1500 SAN PABLO ST, 3 NORTH UNIVERSITY HOSPITAL
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Occupational Therapist
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1500 SAN PABLO ST
LOS ANGELES, CA 90033

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 William Wallace's NPI number?

The NPI number for William Wallace is 1245269943. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is William Wallace located?

William Wallace practices at 1500 San Pablo St, Los Angeles, CA 90033. The listed phone number is (323) 442-2582.

What is William Wallace's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is William Wallace enrolled in Medicare?

Yes. William 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 William Wallace was last updated on November 27, 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.