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MARK D WALLACE M.D.
NPI 1689690091
Radiology - Diagnostic Radiology in Redding, CA

Active since July 15, 2006
2020 COURT ST, REDDING, CA 96001(530) 243-1236(530) 243-8502 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark D Wallace M.d. NPPES

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

MARK D WALLACE M.D. (NPI 1689690091) is an individual diagnostic radiology provider in Redding, California, licensed in California (G31736) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1689690091
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK D WALLACECredential: M.D.
Location Address2020 COURT STRedding, CA 96001-1822
Mailing AddressPo Box 492080Redding, CA 96049-2080 · (530) 241-0473 · Fax (530) 241-5377
Phone(530) 243-1236
Fax(530) 243-8502
Sole ProprietorNo
Enumeration DateJuly 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689690091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · G31736
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2020 COURT ST, Redding, CA 96001
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Other Identifiers 3

Medicare ID-Type Unspecified00G317360CA
Medicaid00G317360CA
Medicare UPINA44850CA

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.

STEPHEN L HOFKIN M.D.
Radiology (Vascular & Interventional Radiology)
2020 COURT ST
REDDING, CA 96001
Shasta County (530) 243-1236
ADAM A ATTOUN D.O.
Radiology (Diagnostic Radiology)
2020 COURT ST
REDDING, CA 96001
Shasta County (530) 243-1236
GREGORY A. SHAW M.D.
Radiology (Vascular & Interventional Radiology)
2020 COURT ST
REDDING, CA 96001
Shasta County (530) 243-1236
MEDICAL DOCTORS IMAGING INC A MEDICAL GROUP
Radiology (Diagnostic Radiology)
2020 COURT ST
REDDING, CA 96001
Shasta County (530) 243-1236
MR. NICHOLAS COLE
Physician Assistant (Medical)
2020 COURT ST
REDDING, CA 96001
Shasta County (530) 243-1249
JON HOHMEISTER M.D.
Radiology (Diagnostic Radiology)
2020 COURT ST
REDDING, CA 96001
Shasta County (530) 243-1236
RICHARD MONTGOMERY R.N., F.N.P.
Nurse Practitioner (Family)
2020 COURT ST, STE110
REDDING, CA 96001
Shasta County (530) 243-1236
DON H CHIN M.D.
Radiology (Diagnostic Radiology)
2020 COURT ST
REDDING, CA 96001
Shasta County (530) 243-1236

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 Mark Wallace's NPI number?

The NPI number for Mark Wallace is 1689690091. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Mark Wallace located?

Mark Wallace practices at 2020 Court St, Redding, CA 96001. The listed phone number is (530) 243-1236.

What is Mark Wallace's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Mark Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.