1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Specialist Technologist
  6. NPI Profile

AMANDA PATRICIA WALLACE
NPI 1245611243
Specialist/Technologist - Speech-Language Assistant in Sacramento, CA

Active since June 16, 2015
2115 J ST STE 210, SACRAMENTO, CA 95816(916) 444-0033 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2023, Mar 17, 2018 (2 updates tracked since 2018).

About Amanda Patricia Wallace NPPES

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

AMANDA PATRICIA WALLACE (NPI 1245611243) is an individual speech-language assistant in Sacramento, California, licensed in California (2945) and active in the NPI registry since June 2015. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245611243
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameAMANDA PATRICIA WALLACE
Location Address2115 J ST STE 210Sacramento, CA 95816-4734
Mailing Address4850 Natomas Blvd Apt 127Sacramento, CA 95835-1266 · (310) 800-7647
Phone(916) 444-0033
Sole ProprietorNo
Enumeration DateJune 16, 2015
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1245611243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License✔ Licensed in CA · 2945
2115 J ST STE 210, Sacramento, CA 95816
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111840 S La Cienega BlvdHawthorne, CA 90250-3459 · Phone (424) 269-3400
Location 2249 E Ocean Blvd Ste 400Long Beach, CA 90802-4806 · Phone (888) 808-7838

Other Providers at the Same Location NPPES 16

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

MARIAH MERCADO PT, DPT
Physical Therapist
2115 J ST STE 210
SACRAMENTO, CA 95816
Sacramento County (916) 444-0033
DARRION LYNN KIRKLEY
Behavior Technician
2115 J ST STE 210
SACRAMENTO, CA 95816
Sacramento County (916) 444-0033
MARIANNE RICHARDSON
Speech-Language Pathologist
2115 J ST STE 210
SACRAMENTO, CA 95816
Sacramento County (916) 771-8255
GER BECKY THAO
Specialist/Technologist (Speech-Language Assistant)
2115 J ST STE 210
SACRAMENTO, CA 95816
Sacramento County (916) 444-0033
SARAH ELYSE MOORE OTR/L
Occupational Therapist
2115 J ST STE 210
SACRAMENTO, CA 95816
Sacramento County (916) 444-0033
BRITAIN MARIE HIXSON
Behavior Analyst
2115 J ST STE 210
SACRAMENTO, CA 95816
Sacramento County (916) 444-0033
CAMILLE SMITH SLPA
Specialist/Technologist (Speech-Language Assistant)
2115 J ST STE 210
SACRAMENTO, CA 95816
Sacramento County (916) 444-0033
ALONDRA AMBRIZ MASTERS OF SCIENCE
Speech-Language Pathologist
2115 J ST STE 210
SACRAMENTO, CA 95816
Sacramento County (916) 444-0033

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 Amanda Patricia Wallace's NPI number?

The NPI number for Amanda Patricia Wallace is 1245611243. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Amanda Patricia Wallace located?

Amanda Patricia Wallace practices at 2115 J St Ste 210, Sacramento, CA 95816. The listed phone number is (916) 444-0033.

What is Amanda Patricia Wallace's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Amanda Patricia Wallace was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.