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DR. JEANNE MARIE WALLACE MD
NPI 1902831381
Internal Medicine in Sylmar, CA

Active since July 12, 2006PECOS Enrolled
14445 OLIVE VIEW DR, OLIVE VIEW UCLA MEDICAL CENTER, SYLMAR, CA 91342(818) 364-4424(818) 364-4428 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeanne Marie Wallace Md NPPES

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

DR. JEANNE MARIE WALLACE MD (NPI 1902831381) is an individual internal medicine provider in Sylmar, California, licensed in California (G30673) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902831381
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JEANNE MARIE WALLACECredential: MD
Location Address14445 OLIVE VIEW DR, OLIVE VIEW UCLA MEDICAL CENTERSylmar, CA 91342
Mailing Address14445 Olive View Dr, Olive View Ucla Medical CenterSylmar, CA 91342 · (818) 364-4424 · Fax (818) 364-4428
Phone(818) 364-4424
Fax(818) 364-4428
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1902831381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G30673
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.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License G30673 (CA)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 91342 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers14 claims14 services$33.01 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers13 claims13 services$63.99 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier13 claims25 services$25.89 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers31 claims161 services$14.17 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers14 claims78 services$11.25 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers54 claims54 services$40.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

COUNTY OF LOS ANGELES AUDITOR CONTROLLER
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-1555
DENNIS POON
Nurse Practitioner (Family)
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-3000
SERENA KE MD
Student in an Organized Health Care Education/Training Program
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-3205
DR. PAUL I LIU M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
14445 OLIVE VIEW DR, ROOM 1A116
SYLMAR, CA 91342
Los Angeles County (818) 364-4033
DR. ARTHUR JENG M.D.
Internal Medicine (Infectious Disease)
14445 OLIVE VIEW DR, 2B182
SYLMAR, CA 91342
Los Angeles County (818) 364-3205
MRS. CECILIA CORONADO PTA
Physical Therapy Assistant
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-4245
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-1555
MR. ANDRIY A KUZNETSOV PT
Physical Therapist
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-4245

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 Jeanne Wallace's NPI number?

The NPI number for Jeanne Wallace is 1902831381. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Jeanne Wallace located?

Jeanne Wallace practices at 14445 Olive View Dr Olive View Ucla Medical Center, Sylmar, CA 91342. The listed phone number is (818) 364-4424.

What is Jeanne Wallace's specialty?

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

Is Jeanne Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jeanne Wallace was last updated on September 11, 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.