PATRICK WALLACE
NPI 1376184408
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since September 30, 2019
4104 DELTA ST, SAN DIEGO, CA 92113(619) 264-0141 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patrick Wallace NPPES

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

PATRICK WALLACE (NPI 1376184408) is an individual addiction (substance use disorder) provider in San Diego, California and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1376184408
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePATRICK WALLACE
Location Address4104 DELTA STSan Diego, CA 92113-4113
Mailing Address4104 Delta StSan Diego, CA 92113-4113
Sole ProprietorNo
Enumeration DateSeptember 30, 2019
NPI 1376184408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
4104 DELTA ST, San Diego, CA 92113

Other Providers at the Same Location NPPES 14

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

Substance Abuse Rehabilitation Facility
4104 DELTA ST
SAN DIEGO, CA 92113
Peer Specialist
4104 DELTA ST
SAN DIEGO, CA 92113
Counselor (Addiction (Substance Use Disorder))
4104 DELTA ST
SAN DIEGO, CA 92113
Peer Specialist
4104 DELTA ST
SAN DIEGO, CA 92113
Counselor (Addiction (Substance Use Disorder))
4104 DELTA ST
SAN DIEGO, CA 92113
Counselor (Addiction (Substance Use Disorder))
4104 DELTA ST
SAN DIEGO, CA 92113
Peer Specialist
4104 DELTA ST
SAN DIEGO, CA 92113
Counselor (Addiction (Substance Use Disorder))
4104 DELTA ST
SAN DIEGO, CA 92113

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 Patrick Wallace's NPI number?

The NPI number for Patrick Wallace is 1376184408. It was assigned to this individual provider in the NPPES registry on September 30, 2019.

Where is Patrick Wallace located?

Patrick Wallace practices at 4104 Delta St, San Diego, CA 92113. The listed phone number is (619) 264-0141.

What is Patrick Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Patrick Wallace was last updated on September 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.