JARED ANDREW WALLACE MD
NPI 1760010987
Internal Medicine - Hematology in Stanford, CA
About Jared Andrew Wallace Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARED ANDREW WALLACE MD (NPI 1760010987) is an individual hematology provider in Stanford, California, licensed in California (A178913) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Stanford, and is a graduate of University Of Utah School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jared Andrew Wallace Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Jared Wallace's NPI number?
The NPI number for Jared Wallace is 1760010987. It was assigned to this individual provider in the NPPES registry on April 1, 2020.
Where is Jared Wallace located?
Jared Wallace practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.
What is Jared Wallace's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.
Is Jared Wallace enrolled in Medicare?
Yes. Jared Wallace is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jared Wallace was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.
# Jared Andrew Wallace, MD · NPI 1760010987
Hematology physician in Stanford, California. Individual provider, active in the CMS NPPES registry since April 1, 2020.
## Identity
- **NPI:** 1760010987 (Entity type: Individual)
- **Enumerated:** April 1, 2020
- **Primary specialty:** Internal Medicine - Hematology · taxonomy 207RH0000X
- **State license:** A178913 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2200
- **Phone:** (650) 723-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Utah School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** July 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760010987) · Data from the CMS NPPES public registry.