DR. MARK S WALLEN DPM
NPI 1306811674
Podiatrist in Santa Monica, CA

Active since February 21, 2006
2001 SANTA MONICA BLVD, #1190W, SANTA MONICA, CA 90404(310) 828-0122(310) 828-4463 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark S Wallen Dpm NPPES

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

DR. MARK S WALLEN DPM (NPI 1306811674) is an individual podiatrist in Santa Monica, California, licensed in California (E3104) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1306811674
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. MARK S WALLENCredential: DPM
Location Address2001 SANTA MONICA BLVD, #1190WSanta Monica, CA 90404-2102
Mailing Address1260 15th St, Ste 1014Santa Monica, CA 90404-1145 · (310) 828-0122 · Fax (310) 828-4463
Fax(310) 828-4463
Sole ProprietorYes
Enumeration DateFebruary 21, 2006
Last NPPES UpdateJanuary 21, 2020
NPI 1306811674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in CA · E3104
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2001 SANTA MONICA BLVD, Santa Monica, CA 90404

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.

Podiatrist (Foot & Ankle Surgery)
2001 SANTA MONICA BLVD, SUITE 983W
SANTA MONICA, CA 90404
Dermatology
2001 SANTA MONICA BLVD, 990W
SANTA MONICA, CA 90404
Urology
2001 SANTA MONICA BLVD, SUITE 1165 W
SANTA MONICA, CA 90404
Family Medicine
2001 SANTA MONICA BLVD, 1070
SANTA MONICA, CA 90404
Surgery
2001 SANTA MONICA BLVD, 460 W
SANTA MONICA, CA 90404
Dermatology
2001 SANTA MONICA BLVD, SUITE 990W
SANTA MONICA, CA 90404
Dermatology
2001 SANTA MONICA BLVD, SUITE 1250 W
SANTA MONICA, CA 90404
Urology
2001 SANTA MONICA BLVD, SUITE 590W
SANTA MONICA, CA 90404

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 Mark Wallen's NPI number?

The NPI number for Mark Wallen is 1306811674. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Mark Wallen located?

Mark Wallen practices at 2001 Santa Monica Blvd #1190w, Santa Monica, CA 90404. The listed phone number is (310) 828-0122.

What is Mark Wallen's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Mark Wallen was last updated on January 21, 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.