SUSAN L. WALLACE MD
NPI 1255402160
Psychiatry & Neurology - Psychiatry in Panorama City, CA
About Susan L. Wallace Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN L. WALLACE MD (NPI 1255402160) is an individual psychiatry provider in Panorama City, California, licensed in California (G42602) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of New York Medical College (1979).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Susan L. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PANORAMA CITY, CA 91402
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 Susan Wallace's NPI number?
The NPI number for Susan Wallace is 1255402160. It was assigned to this individual provider in the NPPES registry on November 13, 2006.
Where is Susan Wallace located?
Susan Wallace practices at 13652 Cantara St, Panorama City, CA 91402. The listed phone number is (818) 375-2000.
What is Susan Wallace's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Susan Wallace enrolled in Medicare?
Yes. Susan 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 Susan Wallace was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Susan L. Wallace, MD · NPI 1255402160
Psychiatry physician in Panorama City, California. Individual provider, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1255402160 (Entity type: Individual)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** G42602 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 13652 CANTARA ST, Panorama City, CA 91402-5423
- **Phone:** (818) 375-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** New York Medical College, class of 1979
## Record status
- **NPPES last updated:** April 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1255402160) · Data from the CMS NPPES public registry.