What is Jesse Wallace's NPI number?

Jesse Wallace's National Provider Identifier (NPI) is 1174005995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jesse Wallace's specialty?

Jesse Wallace is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).

Where is Jesse Wallace located?

Jesse Wallace's practice location on file with NPPES is 21000 Plummer St, Chatsworth, CA 91311-4903.

What is Jesse Wallace's phone number?

The practice phone number listed in the NPPES registry for Jesse Wallace is (818) 882-6400.

Is Jesse Wallace's NPI active?

Yes — Jesse Wallace's NPI (1174005995) is active in the NPPES registry as of the last update on 2018-08-29.

IndividualActive

Jesse Wallace

NPI 1174005995 · Case Manager/Care Coordinator · Chatsworth, CA

Jesse Wallace is a Case Manager/Care Coordinator provider in Chatsworth, CA (NPI 1174005995).

Provider details

NPI number: 1174005995
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other Service Providers

Profile Score

Established profile(61/100 index)

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

Registry tenure38% of score
8 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

21000 Plummer St

Chatsworth, CA 91311-4903

Phone: (818) 882-6400

Street-level locationGet directions

More CA providers

Mailing address