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ALICE WALLACK MD
NPI 1316957103
Internal Medicine in Pismo Beach, CA

Active since August 08, 2006
931 OAK PARK BLVD, SUITE 101, PISMO BEACH, CA 93449(805) 474-2600(805) 474-2607 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alice Wallack Md NPPES

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

ALICE WALLACK MD (NPI 1316957103) is an individual internal medicine provider in Pismo Beach, California, licensed in California (G45399) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1316957103
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALICE WALLACKCredential: MD
Location Address931 OAK PARK BLVD, SUITE 101Pismo Beach, CA 93449-3402
Mailing Address931 Oak Park Blvd, Suite 101Pismo Beach, CA 93449-3402 · (805) 474-2600 · Fax (805) 474-2607
Phone(805) 474-2600
Fax(805) 474-2607
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateMay 9, 2012
✔ NPI 1316957103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G45399
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
931 OAK PARK BLVD, Pismo Beach, CA 93449
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Other Identifiers 3

Medicare PINWG45399ACA
Medicare PINW12153CA
Medicare UPINA92577CA

Other Providers at the Same Location NPPES 10

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

DAVID RUIZ MD
Family Medicine
931 OAK PARK BLVD
PISMO BEACH, CA 93449
San Luis Obispo County (805) 474-2600
GUY ALEXANDER JONES
Dentist (General Practice)
931 OAK PARK BLVD, SUITE 202
PISMO BEACH, CA 93449
San Luis Obispo County (805) 489-7645
DR. CHRISTOPHER STELLPFLUG DDS
Dentist (General Practice)
931 OAK PARK BLVD, SUITE 203
PISMO BEACH, CA 93449
San Luis Obispo County (805) 481-1789
DR. DEWEY SANDBERG MD
Family Medicine
931 OAK PARK BLVD, SUITE 101
PISMO BEACH, CA 93449
San Luis Obispo County (805) 474-2600
DR. CRAIG A MERRILL M.D.
Ophthalmology
931 OAK PARK BLVD, STE 201
PISMO BEACH, CA 93449
San Luis Obispo County (805) 473-6640
ROGER GUTHRIE MD
Family Medicine
931 OAK PARK BLVD, SUITE 101
PISMO BEACH, CA 93449
San Luis Obispo County (805) 474-2600
ALISON WATT PA-C
Physician Assistant
931 OAK PARK BLVD, SUITE 101
PISMO BEACH, CA 93449
San Luis Obispo County (805) 474-2600
ARROYO MEDICAL GROUP, INC
Family Medicine
931 OAK PARK BLVD, SUITE 101
PISMO BEACH, CA 93449
San Luis Obispo County (805) 474-2600

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 Alice Wallack's NPI number?

The NPI number for Alice Wallack is 1316957103. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Alice Wallack located?

Alice Wallack practices at 931 Oak Park Blvd Suite 101, Pismo Beach, CA 93449. The listed phone number is (805) 474-2600.

What is Alice Wallack's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Alice Wallack was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.