Scott C. Wallace MD Inc
NPI 1104394329 · Anesthesiology Physician · El Centro, CA
Scott C. Wallace MD Inc is a Anesthesiology Physician organization in El Centro, CA (NPI 1104394329).
Provider details
- NPI number
- 1104394329
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Scott Wallace, Owner/Physician(765) 284-0493
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Anesthesiology Physician207LP3000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2018-11-06
- Last updated
- 2020-01-16
- Certified
- 2020-01-16
Frequently asked questions
- What is Scott C. Wallace MD Inc's NPI number?
- Scott C. Wallace MD Inc's National Provider Identifier (NPI) is 1104394329, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Scott C. Wallace MD Inc?
- Scott C. Wallace MD Inc is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Scott C. Wallace MD Inc located?
- Scott C. Wallace MD Inc's practice location on file with NPPES is 1415 Ross Ave, El Centro, CA 92243-4306.
- What is Scott C. Wallace MD Inc's phone number?
- The practice phone number listed in the NPPES registry for Scott C. Wallace MD Inc is (301) 305-5959.
- Who is the authorized official for Scott C. Wallace MD Inc?
- The authorized official listed on Scott C. Wallace MD Inc's NPPES record is Scott Wallace, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Scott C. Wallace MD Inc's NPI active?
- Yes — Scott C. Wallace MD Inc's NPI (1104394329) is active in the NPPES registry as of the last update on 2020-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.