Aminah Wallace, NP - Nurse Practitioner in Antioch, CA

Aminah Wallace, NP is a Nurse Practitioner - Acute Care based in Antioch, California. Aminah Wallace is licensed to practice in California (license number 95032514) and her current practice location is 2648 Carson Way, Antioch, California. She can be reached at her office (for appointments etc.) via phone at (619) 534-5998.

NPI number for Aminah Wallace is 1790677912 and her current mailing address is 2648 Carson Way, Antioch, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790677912.

Contact Information

Aminah Wallace, NP
2648 Carson Way,
Antioch, CA 94531-8270
(619) 534-5998
Not Available

Map and Direction




Provider's Profile

Full NameAminah Wallace
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location2648 Carson Way, Antioch, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790677912
  • Provider Enumeration Date: 07/21/2025
  • Last Update Date: 07/21/2025

Medical Identifiers

Medical identifiers for Aminah Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790677912NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 95032514 (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. Aminah 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
Aminah Wallace, NP
2648 Carson Way,
Antioch, CA 94531-8270

Ph: (619) 534-5998
Aminah Wallace, NP
2648 Carson Way,
Antioch, CA 94531-8270

Ph: (619) 534-5998

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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