What is Paul Wallace's NPI number?

Paul Wallace's National Provider Identifier (NPI) is 1114044799, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Paul Wallace's specialty?

Paul Wallace is listed in the NPPES registry with a primary specialty of Licensed Psychiatric Technician (Nursing Service Providers).

Where is Paul Wallace located?

Paul Wallace's practice location on file with NPPES is 1212 N California St, Stockton, CA 95202-1552.

What is Paul Wallace's phone number?

The practice phone number listed in the NPPES registry for Paul Wallace is (209) 468-3760.

Is Paul Wallace's NPI active?

Yes — Paul Wallace's NPI (1114044799) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Paul Wallace

NPI 1114044799 · Licensed Psychiatric Technician · Stockton, CA

Paul Wallace is a Licensed Psychiatric Technician provider in Stockton, CA (NPI 1114044799).

Provider details

NPI number: 1114044799
Entity type: Individual
Primary specialty: Licensed Psychiatric TechnicianNursing Service Providers
Sex: Male
Sole proprietor: Yes
License: PT 26296 (CA)

Specialties & taxonomies

Licensed Psychiatric TechnicianPrimary167G00000XLicense PT 26296 (CA)
Nursing Service Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

1212 N California St

Stockton, CA 95202-1552

Phone: (209) 468-3760

Street-level locationGet directions

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Mailing address