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MR. MANUEL PARKER WALLACE SUD I
NPI 1477320174
Counselor - Addiction (Substance Use Disorder) in Oxnard, CA

Active since December 04, 2023
2150 N VICTORIA AVE, OXNARD, CA 93036(805) 382-6296(805) 382-9487 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2024, Dec 14, 2023, Dec 4, 2023 (3 updates tracked since 2023).

About Mr. Manuel Parker Wallace Sud I NPPES

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

MR. MANUEL PARKER WALLACE SUD I (NPI 1477320174) is an individual addiction (substance use disorder) provider in Oxnard, California and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1477320174
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MANUEL PARKER WALLACECredential: SUD I
Location Address2150 N VICTORIA AVEOxnard, CA 93036-7791
Mailing Address2150 N Victoria AveOxnard, CA 93036-7791 · (805) 382-6296 · Fax (805) 382-9487
Phone(805) 382-6296
Fax(805) 382-9487
Sole ProprietorNo
Enumeration DateDecember 4, 2023
Last NPPES UpdateJanuary 4, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1477320174 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
2150 N VICTORIA AVE, Oxnard, CA 93036
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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.

KENNETH SUPIN
Counselor (Addiction (Substance Use Disorder))
2150 N VICTORIA AVE
OXNARD, CA 93036
Ventura County (818) 431-7472
ERICA A MCKEE CADC II
Counselor (Addiction (Substance Use Disorder))
2150 N VICTORIA AVE
OXNARD, CA 93036
Ventura County (805) 382-6296
SEAN LIAM LEE HIMEBAUGH
Student in an Organized Health Care Education/Training Program
2150 N VICTORIA AVE
OXNARD, CA 93036
Ventura County (805) 382-6296
LISA MARIE BIESEMEYER
Counselor (Addiction (Substance Use Disorder))
2150 N VICTORIA AVE
OXNARD, CA 93036
Ventura County (805) 382-6296
HEALTHRIGHT 360
Substance Abuse Rehabilitation Facility
2150 N VICTORIA AVE
OXNARD, CA 93036
Ventura County (805) 382-6296
CATHERINE EDEJER
Licensed Vocational Nurse
2150 N VICTORIA AVE
OXNARD, CA 93036
Ventura County (805) 382-6296
ANGIE MARIE URICH CMA
Technician
2150 N VICTORIA AVE
OXNARD, CA 93036
Ventura County (805) 382-6296
HEATHER VAN STEEN
Counselor (Addiction (Substance Use Disorder))
2150 N VICTORIA AVE
OXNARD, CA 93036
Ventura County (805) 382-6296

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 Manuel Wallace's NPI number?

The NPI number for Manuel Wallace is 1477320174. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Where is Manuel Wallace located?

Manuel Wallace practices at 2150 N Victoria Ave, Oxnard, CA 93036. The listed phone number is (805) 382-6296.

What is Manuel 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 Manuel Wallace was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.