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ZACK WALLY
NPI 1639988108
Student in an Organized Health Care Education/Training Program in Santa Maria, CA

Active since December 30, 2024
1075 E BETTERAVIA RD STE 201, SANTA MARIA, CA 93454(805) 621-7651 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zack Wally NPPES

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

ZACK WALLY (NPI 1639988108) is an individual student in an organized health care education/training program in Santa Maria, California and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1639988108
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameZACK WALLY
Location Address1075 E BETTERAVIA RD STE 201Santa Maria, CA 93454-7023
Mailing Address1075 E Betteravia Rd Ste 201Santa Maria, CA 93454-7023 · (805) 621-7651
Phone(805) 621-7651
Sole ProprietorNo
Enumeration DateDecember 30, 2024
NPPES CertifiedDecember 30, 2024
✔ NPI 1639988108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1075 E BETTERAVIA RD STE 201, Santa Maria, CA 93454
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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.

NICHOLAS CICO
Student in an Organized Health Care Education/Training Program
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Santa Barbara County (603) 521-2598
NOUREEN GOWANI
Student in an Organized Health Care Education/Training Program
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Santa Barbara County (214) 205-5727
KAINAT KHAN
Student in an Organized Health Care Education/Training Program
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Santa Barbara County (866) 626-2878
DENNIS DYLAN MACK
Physician Assistant
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Santa Barbara County (805) 621-7714
MORGAN OHLMAN
Student in an Organized Health Care Education/Training Program
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Santa Barbara County (805) 621-7651
SABINA JOELLE RODRIGUEZ
Student in an Organized Health Care Education/Training Program
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Santa Barbara County (805) 621-7651
FRANCESCA PERROTTI
Student in an Organized Health Care Education/Training Program
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Santa Barbara County (862) 266-2103
ANTONY TRUNG LE
Student in an Organized Health Care Education/Training Program
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Santa Barbara County (805) 621-7651

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 Zack Wally's NPI number?

The NPI number for Zack Wally is 1639988108. It was assigned to this individual provider in the NPPES registry on December 30, 2024.

Where is Zack Wally located?

Zack Wally practices at 1075 E Betteravia Rd Ste 201, Santa Maria, CA 93454. The listed phone number is (805) 621-7651.

What is Zack Wally's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Zack Wally was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.