Dr Grant Charles Wallace, MD - Radiology in Oceanside, CA

Dr Grant Charles Wallace, MD is a Radiology - Diagnostic Radiology physician based in Oceanside, California. Dr Grant Charles Wallace is licensed to practice in California (license number G80310) and his current practice location is 200 Mercy Circle, Oceanside, California. He can be reached at his office (for appointments etc.) via phone at (760) 719-3479.

NPI number for Dr Grant Charles Wallace is 1043208101 and his current mailing address is 200 Mercy Circle, Ocenside, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043208101.

Contact Information

Dr Grant Charles Wallace, MD
200 Mercy Circle,
Oceanside, CA 92055
(760) 719-3479
Not Available

Map and Direction




Physician's Profile

Full NameDr Grant Charles Wallace
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location200 Mercy Circle, Oceanside, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043208101
  • Provider Enumeration Date: 10/12/2005
  • Last Update Date: 09/25/2023

Medical Identifiers

Medical identifiers for Dr Grant Charles Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043208101NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology G80310 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Grant Charles Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Grant Charles Wallace, MD
200 Mercy Circle,
Ocenside, CA 92055

Ph: (760) 719-3479
Dr Grant Charles Wallace, MD
200 Mercy Circle,
Oceanside, CA 92055

Ph: (760) 719-3479

Reviews and Comments


Radiology Doctors in Oceanside, CA

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