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WALLACE BLAKE MCKINNEY MEDICAL GROUP OF CALIFORNIA
NPI 1861977415
Emergency Medicine in Elk Grove, CA

Active since September 29, 2018
9245 LAGUNA SPRINGS DR STE 200, ELK GROVE, CA 95758(916) 215-4554 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2021, Apr 8, 2020, Sep 29, 2018 (3 updates tracked since 2018).

About Wallace Blake Mckinney Medical Group Of California NPPES

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

WALLACE BLAKE MCKINNEY MEDICAL GROUP OF CALIFORNIA (NPI 1861977415) is a healthcare organization registered as an emergency medicine in Elk Grove, California and active in the NPI registry since September 2018. The organization lists John Dutton, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1861977415
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameWALLACE BLAKE MCKINNEY MEDICAL GROUP OF CALIFORNIA
Location Address9245 LAGUNA SPRINGS DR STE 200Elk Grove, CA 95758-7991
Mailing Address3513 Brighton Blvd Ste 230Denver, CO 80216-3606 · (916) 215-4554
Phone(916) 215-4554
Organization SubpartNo
Authorized OfficialJohn DuttonMedical Director · (916) 215-4554
Enumeration DateSeptember 29, 2018
Last NPPES UpdateMarch 15, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
✔ NPI 1861977415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
9245 LAGUNA SPRINGS DR STE 200, Elk Grove, CA 95758
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

THE GROWTH CENTER I INC.
Case Manager/Care Coordinator
9245 LAGUNA SPRINGS DR STE 200
ELK GROVE, CA 95758
Sacramento County (916) 800-6293
MRS. KERI MICHELLE SCHUMACHER
Speech-Language Pathologist
9245 LAGUNA SPRINGS DR STE 200
ELK GROVE, CA 95758
Sacramento County (914) 377-5655
RANA LOGISTIC LLC
Non-emergency Medical Transport (VAN)
9245 LAGUNA SPRINGS DR STE 200
ELK GROVE, CA 95758
Sacramento County (650) 222-3755
THE GROWTH CENTER I INC.
Supports Brokerage
9245 LAGUNA SPRINGS DR STE 200
ELK GROVE, CA 95758
Sacramento County (916) 800-6293
THE GROWTH CENTER I INC.
Peer Specialist
9245 LAGUNA SPRINGS DR STE 200
ELK GROVE, CA 95758
Sacramento County (916) 800-6293
ANTONIA STEWART
Behavior Technician
9245 LAGUNA SPRINGS DR STE 200
ELK GROVE, CA 95758
Sacramento County (916) 632-1330
LIFE INTEGRATED SERVICES
Community Health Worker
9245 LAGUNA SPRINGS DR STE 200
ELK GROVE, CA 95758
Sacramento County (510) 978-5807
MISS ERICA LASHAWN BELL LCSW
Social Worker (Clinical)
9245 LAGUNA SPRINGS DR STE 200
ELK GROVE, CA 95758
Sacramento County (925) 309-9425

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 Wallace Blake Mckinney Medical Group Of California's NPI number?

The NPI number for Wallace Blake Mckinney Medical Group Of California is 1861977415. It was assigned to this organization in the NPPES registry on September 29, 2018.

Where is Wallace Blake Mckinney Medical Group Of California located?

Wallace Blake Mckinney Medical Group Of California is located at 9245 Laguna Springs Dr Ste 200, Elk Grove, CA 95758. The listed phone number is (916) 215-4554.

What is Wallace Blake Mckinney Medical Group Of California's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Wallace Blake Mckinney Medical Group Of California was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.