DR. BRANDON M WALLACE DPM
NPI 1316426679
Podiatrist - Foot & Ankle Surgery in West Covina, CA
About Dr. Brandon M Wallace Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRANDON M WALLACE DPM (NPI 1316426679) is an individual foot & ankle surgery provider in West Covina, California, licensed in California (E5705) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Brandon M Wallace Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
WEST COVINA, CA 91790
WEST COVINA, CA 91790
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 Brandon Wallace's NPI number?
The NPI number for Brandon Wallace is 1316426679. It was assigned to this individual provider in the NPPES registry on August 8, 2018.
Where is Brandon Wallace located?
Brandon Wallace practices at 1300 S Sunset Ave, West Covina, CA 91790. The listed phone number is (323) 269-5205.
What is Brandon Wallace's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Brandon Wallace enrolled in Medicare?
Yes. Brandon Wallace is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Brandon Wallace was last updated on November 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
