ADAM WALLACH,M.D. A PROFESSIONAL CORPORATION
NPI 1346517620
Specialist in Danville, CA

Active since November 30, 2011
400 EL CERRO BLVD., STE. 204, DANVILLE, CA 94526(925) 837-8848 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Adam Wallach,m.d. A Professional Corporation NPPES

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

ADAM WALLACH,M.D. A PROFESSIONAL CORPORATION (NPI 1346517620) is a healthcare organization registered as a specialist in Danville, California and active in the NPI registry since November 2011. The organization lists Adam G Wallach, Physican/owner, as its authorized official.

NPPES Registry Identity

NPI1346517620
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADAM WALLACH,M.D. A PROFESSIONAL CORPORATION
Location Address400 EL CERRO BLVD., STE. 204Danville, CA 94526
Mailing Address400 El Cerro Blvd., Ste. 204Danville, CA 94526 · (925) 837-8848
Organization SubpartNo
Authorized OfficialAdam G WallachPhysican/owner · (925) 837-8848
Enumeration DateNovember 30, 2011
✔ NPI 1346517620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G85998
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
400 EL CERRO BLVD., Danville, CA 94526

Other Identifiers 1

Medicare PIN00G859980CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Wallach,m.d. A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120215000304Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Adam Wallach,m.D. A Professional Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1982741021
400 EL CERRO BLVD SUITE 204
Danville, CA 94526
(925) 837-8848
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144377342
477 N EL CAMINO REAL SUITE A-308
Encinitas, CA 92024
(760) 436-8700
✔ PECOS✔ Accepts Medicare424 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Adam Wallach,m.D. A Professional Corporation's NPI number?

The NPI number for Adam Wallach,m.D. A Professional Corporation is 1346517620. It was assigned to this organization in the NPPES registry on November 30, 2011.

Where is Adam Wallach,m.D. A Professional Corporation located?

Adam Wallach,m.D. A Professional Corporation is located at 400 El Cerro Blvd. Ste. 204, Danville, CA 94526. The listed phone number is (925) 837-8848.

What is Adam Wallach,m.D. A Professional Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Adam Wallach,m.D. A Professional Corporation enrolled in Medicare?

Yes. Adam Wallach,m.D. A Professional Corporation is registered in the Medicare PECOS enrollment system.

When is Adam Wallach,m.D. A Professional Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Adam Wallach,m.D. A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Adam Wallach,m.D. A Professional Corporation, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Adam Wallach,m.D. A Professional Corporation was last updated on November 30, 2011. 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.