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MICHAEL S. WALLACK M.D.
NPI 1689791139
Internal Medicine in San Fernando, CA

Active since March 22, 2007
1600 SAN FERNANDO ROAD, SAN FERNANDO, CA 91340(818) 365-8086(818) 898-4826 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael S. Wallack M.d. NPPES

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

MICHAEL S. WALLACK M.D. (NPI 1689791139) is an individual internal medicine provider in San Fernando, California, licensed in California (G12118) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1689791139
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL S. WALLACKCredential: M.D.
Location Address1600 SAN FERNANDO ROADSan Fernando, CA 91340
Mailing Address4801 BrandenburgTarzana, CA 91350 · (818) 342-4440 · Fax (818) 342-9710
Phone(818) 365-8086
Fax(818) 898-4826
Sole ProprietorNo
Enumeration DateMarch 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689791139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G12118
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1600 SAN FERNANDO ROAD, San Fernando, CA 91340
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Other Identifiers 1

Medicare UPINA38554CA

Other Providers at the Same Location NPPES 3

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

NORTHEAST VALLEY HEALTH CORPORATION
Clinic/Center (Family Planning, Non-Surgical)
1600 SAN FERNANDO ROAD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086
MRS. ROWENA REYES ALCANTARA-FERNANDEZ N.P.
Nurse Practitioner (Family)
1600 SAN FERNANDO ROAD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086
NORTHEAST VALLEY HEALTH CORPORATION
Clinic/Center (Medical Specialty)
1600 SAN FERNANDO ROAD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086

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 Michael Wallack's NPI number?

The NPI number for Michael Wallack is 1689791139. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Michael Wallack located?

Michael Wallack practices at 1600 San Fernando Road, San Fernando, CA 91340. The listed phone number is (818) 365-8086.

What is Michael Wallack's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Michael Wallack 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.