WILLIAM A. WALLACE MD
NPI 1477620342
Obstetrics & Gynecology in Harbor City, CA
About William A. Wallace Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM A. WALLACE MD (NPI 1477620342) is an individual obstetrics & gynecology provider in Harbor City, California, licensed in California (G79737) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
William A. Wallace Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HARBOR CITY, CA 90710
HARBOR CITY, CA 90710
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 William Wallace's NPI number?
The NPI number for William Wallace is 1477620342. It was assigned to this individual provider in the NPPES registry on November 29, 2006.
Where is William Wallace located?
William Wallace practices at 25825 Vermont Ave, Harbor City, CA 90710. The listed phone number is (310) 325-5111.
What is William Wallace's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is William Wallace enrolled in Medicare?
Yes. William Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for William Wallace was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# William A. Wallace, MD · NPI 1477620342
Obstetrics & Gynecology physician in Harbor City, California. Individual provider, active in the CMS NPPES registry since November 29, 2006.
## Identity
- **NPI:** 1477620342 (Entity type: Individual)
- **Enumerated:** November 29, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** G79737 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 25825 VERMONT AVE, Harbor City, CA 90710-3518
- **Phone:** (310) 325-5111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1477620342) · Data from the CMS NPPES public registry.