DR. JAMES DAVID WALLACE M.D.
NPI 1730490277
Surgery - Trauma Surgery in San Diego, CA

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-7575 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2025, Feb 5, 2024, Jan 7, 2019 (3 updates tracked since 2019).

About Dr. James David Wallace M.d. NPPES

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

DR. JAMES DAVID WALLACE M.D. (NPI 1730490277) is an individual trauma surgery provider in San Diego, California, licensed in District Of Columbia (MD49240) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2010).

NPPES Registry Identity

NPI1730490277
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameDR. JAMES DAVID WALLACECredential: M.D.
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1894
Mailing AddressBldg H 2005 Knight Lane, Attn: Medical Staff ServicesJacksonville, FL 32212-0140
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2010
Enumeration DateJune 30, 2010
Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1730490277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License✔ Licensed in DC · MD49240
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgeryTaxonomy 208600000X · License MD60918669 (WA)
34800 BOB WILSON DR, San Diego, CA 92134

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James David Wallace M.d. 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.

PECOS PAC ID3072863653
PECOS Enrollment IDI20241211003719
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show James Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
4077 FIFTH AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 218 clinicians in this Medicare group
Emergency Medicine
4077 FIFTH AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Family Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134

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 James Wallace's NPI number?

The NPI number for James Wallace is 1730490277. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is James Wallace located?

James Wallace practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-7575.

What is James Wallace's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is James Wallace enrolled in Medicare?

Yes. James 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.

Which organizations bill Medicare for James Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Wallace reassigns Medicare benefits to 2 organizations: On Call Specialists Medical Group Of San Diego, Inc. (San Diego, CA) and Trauma Team Medical Group Incorporated (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Wallace was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.