| David Carter Wallace, DO | |
|
18250 Roscoe Blvd, Northridge, CA 91325-4226 | |
| (818) 796-2920 | |
| Not Available |
| Full Name | David Carter Wallace |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 6 Years |
| Location | 18250 Roscoe Blvd, Northridge, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396364402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 20A25571 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohio State University Hospitals | Columbus, OH | Hospital |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | Hospital |
| Entity Name | OSU Internal Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740231448 PECOS PAC ID: 5496651408 Enrollment ID: O20031210000658 |
| Mailing Address | Practice Location Address |
|---|---|
| David Carter Wallace, DO 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-4837 | David Carter Wallace, DO 18250 Roscoe Blvd, Northridge, CA 91325-4226 Ph: (818) 796-2920 |
Dr. Fares Rabadi, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 18350 Roscoe Blvd, Suite 514, Northridge, CA 91325 Phone: 818-775-0519 Fax: 818-775-0943 |
Dr. Masoud M Azizad, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 18433 Roscoe Blvd, #208, Northridge, CA 91325 Phone: 818-341-4401 Fax: 818-341-4402 |
Jean Grant Hawkins, MD FCCP Nephrology Medicare: Not Enrolled in Medicare Practice Location: 18546 Roscoe Blvd, #308, Northridge, CA 91324 Phone: 818-349-2931 Fax: 818-349-7930 |
Arthur Jules Lazik, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 19150 Ballinger St, Northridge, CA 91324 Phone: 818-993-0508 |
Dr. Richard Fernando Pego, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 17075 Devonshire Street, Suite 201, Northridge, CA 91325 Phone: 818-365-9595 Fax: 818-365-8955 |
George Sarka, MD, MPH, FACP, FACR Nephrology Medicare: Not Enrolled in Medicare Practice Location: 18111 Nordhoff St, Csun, Klotz Student Health Center, Northridge, CA 91330 Phone: 818-677-3666 Fax: 818-677-2304 |
Jerome Gary Davidson, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-700-2336 Fax: 818-700-2337 |