WALLACE HOME MEDICAL SUPPLIES
NPI 1902200918
Durable Medical Equipment & Medical Supplies in San Luis Obispo, CA

Q: What is Wallace Home Medical Supplies's NPI number?

The NPI number for Wallace Home Medical Supplies is 1902200918. It was assigned to this organization in the NPPES registry on October 20, 2014.

Q: What is Wallace Home Medical Supplies's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since October 20, 2014

12310 LOS OSOS VALLEY RD, SAN LUIS OBISPO, CA 93405(805) 439-4007 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wallace Home Medical Supplies NPPES

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

WALLACE HOME MEDICAL SUPPLIES (NPI 1902200918) is a healthcare organization registered as a durable medical equipment & medical supplies in San Luis Obispo, California and active in the NPI registry since October 2014. The organization lists Matthew Trago Wallace, President, as its authorized official.

NPPES Registry Identity

NPI1902200918

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameWALLACE HOME MEDICAL SUPPLIES

Location Address12310 LOS OSOS VALLEY RDSan Luis Obispo, CA 93405-7220

Mailing Address549 10th StPaso Robles, CA 93446-2510 · (805) 238-3935

Phone(805) 439-4007

Organization SubpartYes

Authorized OfficialMatthew Trago WallacePresident · (805) 238-3935

Enumeration DateOctober 20, 2014

Last NPPES UpdateAugust 6, 2015

✔ NPI 1902200918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

12310 LOS OSOS VALLEY RD, San Luis Obispo, CA 93405

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Other Names 1

Doing Business AsWallace Home Medical Supplies

Other Identifiers 1

Medicare NSC6091060002CA

Medical Equipment Supplier Medicare DMEPOS 34

Medicare supplier enrollment and the product categories Wallace Home Medical Supplies carries, from the Medicare DMEPOS supplier directory.

Wallace Home Medical Supplies

DMEPOS supplier · San Luis Obispo, CA

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Does not accept Medicare assignment

Wallace Home Medical Supplies has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20553317

Medicare Participant SinceJanuary 1, 2009

Supplier Location12310 Los Osos Valley RdSan Luis Obispo, CA 93405

Phone(805) 439-4007

Provider TypeOxygen & Equipment

Supplier Specialties

Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Heat & Cold Applications

Heat therapy, Cold therapy, Heating pads

Hospital Beds (Electric)

Total electric hospital beds, Semi-electric hospital beds

Hospital Beds (Manual)

Fixed height hospital beds, Variable height hospital beds

Negative Pressure Wound Therapy Pumps/Supplies

Wound care sets, Pumps, Canisters

Neuromuscular Elect Stimulators (NMES)/Supplies

Electrodes, lead wires, adhesive tape

Support Surfaces: Pressure Reducing Beds/Mats/Pads

Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Patient Lifts

Ceiling lifts, Slings

Power Operated Vehicles (Scooters)

Scooters

Seat Lift Mechanisms

Lift chair

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Wheelchairs (Standard Manual)

Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Manual Related Accessories)

Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Power)

Standard power wheelchairs, Heavy duty standard power wheelchairs

Wheelchairs (Standard Power Related Accessories)

Accessories for standard power wheelchairs, heavy duty standard power wheelchairs

Wheelchairs (Complex Rehabilitative Manual)

Complex rehabilitative manual wheelchairs

Wheelchairs (Complex Rehab Manual Rel Accessories)

Complex rehabilitative manual wheelchairs

Wheelchairs (Complex Rehabilitative Power)

Complex rehabilitative power wheelchairs

Wheelchairs (Complex Rehab Power Rel Accessories)

Complex rehabilitative power wheelchairs

Wheelchair Seating/Cushions

Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests

Orthoses: Prefabricated (Non-Custom Fabricated)

Met pads, Heel pads, Heel spur pads

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Breast Prostheses and/or Accessories

Prosthetic bra, Surgical bra

Continuous Positive Airway Pressure (CPAP) Devices

CPAP machines, Compressor systems, Humidifiers, Masks

Intermittent Positive Pressure Breathing IPPB DEV

Intermittent assist devices

Intrapulmonary Percussive Ventilation Devices

Intrapulmonary percussive ventilation compressor, hand held units, tubing

Mechanical In-Exsufflation Devices

Mechanical in-exsufflation devices are designed to slowly inflate the lungs with positive pressure during inspiration and simulate cough with rapidly applied negative pressure during expiration.

Nebulizer Equipment and/or Supplies

Nebulizers, Atomizers, Filters

Oxygen Equipment and/or Supplies

Portable oxygen systems, Oxygen concentrators, Oxygen contents

Respiratory Assist Devices

Respiratory Suction Pumps

Portable suction pumps, Stationary suction pumps, Canisters

Ventilators Accessories and/or Supplies

Volume control ventilator, Pressure support ventilator

Surgical Dressings

Gauze, Elastic bandages, Adhesive tape

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Home Medical Supplies's NPI number?

The NPI number for Wallace Home Medical Supplies is 1902200918. It was assigned to this organization in the NPPES registry on October 20, 2014.

Where is Wallace Home Medical Supplies located?

Wallace Home Medical Supplies is located at 12310 Los Osos Valley Rd, San Luis Obispo, CA 93405. The listed phone number is (805) 439-4007.

What is Wallace Home Medical Supplies's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Wallace Home Medical Supplies accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wallace Home Medical Supplies does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Wallace Home Medical Supplies was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.