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KATHLEEN WALLACE
NPI 1942950985
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since March 24, 2022PECOS Enrolled
550 16TH ST FL 4, SAN FRANCISCO, CA 94143(415) 502-2362(415) 476-5354 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Wallace NPPES

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

KATHLEEN WALLACE (NPI 1942950985) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942950985
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHLEEN WALLACE
Location Address550 16TH ST FL 4San Francisco, CA 94143-2549
Mailing Address34 Santa Rita AveSan Francisco, CA 94116-1464 · (415) 218-7932
Phone(415) 502-2362
Fax(415) 476-5354
Sole ProprietorNo
Enumeration DateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1942950985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
550 16TH ST FL 4, San Francisco, CA 94143
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Wallace 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.

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.

ALYSSA TOSHIMI GO
Pediatrics
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001
ZACHARY EMMANUEL WAN SANDOVAL MD, MPH
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001
RULAN YI MD
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001
ELIZABETH HALE MONTESANO SCHEIBE MD
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001
ISHAAN AMARJITSINGH SANGWAN
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001
MARY ROLFES STUDENT
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-6245
EVELYN MARIA HOOVER
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001
VALERIE JUDITH FONG-SILVA MD
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001

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 Kathleen Wallace's NPI number?

The NPI number for Kathleen Wallace is 1942950985. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Kathleen Wallace located?

Kathleen Wallace practices at 550 16th St Fl 4, San Francisco, CA 94143. The listed phone number is (415) 502-2362.

What is Kathleen Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kathleen Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kathleen Wallace was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.