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Demetrius Wallace
NPI 1073186540 · Community Health Worker · Victorville, CA
Demetrius Wallace is a Community Health Worker provider in Victorville, CA (NPI 1073186540).
Provider details
- NPI number
- 1073186540
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13733 Arthur Dr
Victorville, CA 92392-0205
Phone: (760) 912-0467
Street-level locationGet directions
Mailing address
Po Box 1477
Victorville, CA 92393-1477
Registry dates
- Enumerated
- 2021-07-21
- Last updated
- 2021-07-21
- Certified
- 2021-07-21
Frequently asked questions
- What is Demetrius Wallace's NPI number?
- Demetrius Wallace's National Provider Identifier (NPI) is 1073186540, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Demetrius Wallace's specialty?
- Demetrius Wallace is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Demetrius Wallace located?
- Demetrius Wallace's practice location on file with NPPES is 13733 Arthur Dr, Victorville, CA 92392-0205.
- What is Demetrius Wallace's phone number?
- The practice phone number listed in the NPPES registry for Demetrius Wallace is (760) 912-0467.
- Is Demetrius Wallace's NPI active?
- Yes — Demetrius Wallace's NPI (1073186540) is active in the NPPES registry as of the last update on 2021-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.