JEFFEREY WALLACE
NPI 1902023070
Student in an Organized Health Care Education/Training Program in Santa Cruz, CA
About Jefferey Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFEREY WALLACE (NPI 1902023070) is an individual student in an organized health care education/training program in Santa Cruz, California and active in the NPI registry since April 2007. He maintains a secondary practice location in Gilroy.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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.
SANTA CRUZ, CA 95060
SANTA CRUZ, CA 95060
SANTA CRUZ, CA 95060
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 Jefferey Wallace's NPI number?
The NPI number for Jefferey Wallace is 1902023070. It was assigned to this individual provider in the NPPES registry on April 19, 2007.
Where is Jefferey Wallace located?
Jefferey Wallace practices at 1400 Emeline Ave Bldg K, Santa Cruz, CA 95060. The listed phone number is (831) 345-7746.
What is Jefferey Wallace's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Jefferey Wallace was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
