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JENNIFER KATHERINE WALLACE PA-C
NPI 1578796926
Physician Assistant - Medical in Ventura, CA

Active since September 02, 2009
2660 E MAIN ST, SUITE 204, VENTURA, CA 93003(805) 643-7500(805) 643-7501 Get Directions Write a Review

NPPES record last updated: September 8, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Katherine Wallace Pa-c NPPES

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

JENNIFER KATHERINE WALLACE PA-C (NPI 1578796926) is an individual medical provider in Ventura, California, licensed in California (PA20925) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1578796926
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER KATHERINE WALLACECredential: PA-C
Location Address2660 E MAIN ST, SUITE 204Ventura, CA 93003-2893
Mailing Address2660 E Main St, Suite 204Ventura, CA 93003-2893 · (805) 643-7500 · Fax (805) 643-7501
Phone(805) 643-7500
Fax(805) 643-7501
Sole ProprietorNo
Enumeration DateSeptember 2, 2009
Last NPPES UpdateSeptember 8, 2010
✔ NPI 1578796926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA20925
2660 E MAIN ST, Ventura, CA 93003
Open in Google Maps ↗

Other Identifiers 2

Other2826CO · Physician Assistant License
OtherPA20925CA · Ca Physician Assistant License

Other Providers at the Same Location NPPES 4

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

DR. DENISE STENNETTE M.D.
Orthopaedic Surgery
2660 E MAIN ST
VENTURA, CA 93003
Ventura County (805) 477-6070
DR. VALERIE SUSSMAN MD
Pediatrics
2660 E MAIN ST, 204
VENTURA, CA 93003
Ventura County (805) 643-7500
DR. ALEXANDRE YVES HILLAIRET DAOM
Acupuncturist
2660 E MAIN ST, STE 202
VENTURA, CA 93003
Ventura County (805) 798-4018
DR. MICHAEL STEINBAUM D.P.M.
Podiatrist
2660 E MAIN ST
VENTURA, CA 93003
Ventura County (805) 477-6070

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 Jennifer Wallace's NPI number?

The NPI number for Jennifer Wallace is 1578796926. It was assigned to this individual provider in the NPPES registry on September 2, 2009.

Where is Jennifer Wallace located?

Jennifer Wallace practices at 2660 E Main St Suite 204, Ventura, CA 93003. The listed phone number is (805) 643-7500.

What is Jennifer Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Wallace was last updated on September 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.