David Wallace, PA-C in Northridge, CA - Medicare Physician Assistant

David Wallace, PA-C is a medicare enrolled "Physician Assistant" in Northridge, California. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice United Medical Doctors and his current practice location is 18350 Roscoe Blvd # 702, Northridge, California. You can reach out to his office (for appointments etc.) via phone at (818) 280-5961.

David Wallace is licensed to practice in California (license number PA59863) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730852179.

Contact Information

	David Wallace, PA-C
	18350 Roscoe Blvd # 702, Northridge, CA 91325-4109
	(818) 280-5961
	(818) 280-5983

Map and Direction

Provider's Profile

Full Name	David Wallace
Gender	Male
Speciality	Physician Assistant
Experience	5 Years
Location	18350 Roscoe Blvd # 702, Northridge, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Wallace graduated from nursing school in 2021

NPI Data:

NPI Number: 1730852179
Provider Enumeration Date: 07/30/2021
Last Update Date: 08/28/2025

Medicare PECOS Information:

PECOS PAC ID: 8325543770
Enrollment ID: I20250925003294

Medical Identifiers

Medical identifiers for David Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730852179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA59863 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
United Medical Doctors	2961305651	167

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. David Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
David Wallace, PA-C 18350 Roscoe Blvd # 702, Northridge, CA 91325-4109 Ph: (818) 280-5961	David Wallace, PA-C 18350 Roscoe Blvd # 702, Northridge, CA 91325-4109 Ph: (818) 280-5961

Reviews and Comments

Physician Assistant Nurses in Northridge, CA

Omar A Islas, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8330 Reseda Blvd, Northridge, CA 91324 Phone: 818-534-1820
Ashley Salin, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 18345 Sandringham Ct, Northridge, CA 91326 Phone: 818-522-9807
Emily Hannah Hernandez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11633 Killimore Ave, Northridge, CA 91326 Phone: 818-521-9785
Shant Boshnakian, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500
Josue Noe Cruz, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8330 Reseda Blvd, Northridge, CA 91324 Phone: 818-534-1820 Fax: 818-936-0108
Frank Gregory Abt, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500
Luz E Alas, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8330 Reseda Blvd, Northridge, CA 91324 Phone: 818-534-1820 Fax: 818-936-0108

David Wallace, PA-C - Medicare Physician Assistant in Northridge, CA