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JOHNNY LEE WALLACE JR.
NPI 1316800345
Day Training/Habilitation Specialist in Bakersfield, CA

Active since December 05, 2025
3401 WIBLE RD APT 91, BAKERSFIELD, CA 93309(760) 379-3412 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2025, Dec 5, 2025 (2 updates tracked since 2025).

About Johnny Lee Wallace Jr. NPPES

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

JOHNNY LEE WALLACE JR. (NPI 1316800345) is an individual day training/habilitation specialist in Bakersfield, California and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1316800345
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameJOHNNY LEE WALLACE JR.
Location Address3401 WIBLE RD APT 91Bakersfield, CA 93309-6536
Mailing AddressPo Box 1000Bakersfield, CA 93302-1000 · (760) 379-3412
Phone(760) 379-3412
Sole ProprietorYes
Enumeration DateDecember 5, 2025
Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1316800345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
3401 WIBLE RD APT 91, Bakersfield, CA 93309
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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 Johnny Wallace's NPI number?

The NPI number for Johnny Wallace is 1316800345. It was assigned to this individual provider in the NPPES registry on December 5, 2025.

Where is Johnny Wallace located?

Johnny Wallace practices at 3401 Wible Rd Apt 91, Bakersfield, CA 93309. The listed phone number is (760) 379-3412.

What is Johnny Wallace's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Johnny Wallace was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.