JOSEFINE WALLACE MD
NPI 1750083408
Internal Medicine in San Diego, CA

Active since March 20, 2023PECOS Enrolled
200 W ARBOR DR # MC8425, SAN DIEGO, CA 92103(619) 543-6268 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Josefine Wallace Md NPPES

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

JOSEFINE WALLACE MD (NPI 1750083408) is an individual internal medicine provider in San Diego, California, licensed in California (206444) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2023).

NPPES Registry Identity

NPI1750083408
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJOSEFINE WALLACECredential: MD
Location Address200 W ARBOR DR # MC8425San Diego, CA 92103-1911
Mailing Address200 W Arbor Dr # Mc8425San Diego, CA 92103-1911
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2023
Enumeration DateMarch 20, 2023
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1750083408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · 206444 Licensed in WA · 70081912
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.

200 W ARBOR DR # MC8425, San Diego, CA 92103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Josefine Wallace Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941779771
PECOS Enrollment IDI20260520004442
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Internal Medicine
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103

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 Josefine Wallace's NPI number?

The NPI number for Josefine Wallace is 1750083408. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Josefine Wallace located?

Josefine Wallace practices at 200 W Arbor Dr # Mc8425, San Diego, CA 92103. The listed phone number is (619) 543-6268.

What is Josefine Wallace's specialty?

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

Is Josefine Wallace enrolled in Medicare?

Yes. Josefine Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Josefine Wallace was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.