Susan Wallace, MD
NPI 1255402160 · Psychiatry Physician · Panorama City, CA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Wallace, MD is a Psychiatry Physician provider in Panorama City, CA (NPI 1255402160).
Provider details
- NPI number
- 1255402160
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- G42602 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
4 documented practice locations
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 39 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Quetiapine Fumarate | 293 | 52 |
| Trazodone Hcl | 258 | 48 |
| Hydroxyzine Hcl | 241 | 49 |
| Fluoxetine Hcl | 202 | 41 |
| Clonazepam | 183 | 34 |
| Sertraline Hcl | 162 | 38 |
| Aripiprazole | 134 |
Practice location
Mailing address
Additional practice locations (3)
- 5730 Packard Ave Ste 500Marysville, CA 95901-7119Phone: (530) 749-3242Fax: (530) 749-3248
- 3810 Rosin Ct Ste 100Sacramento, CA 95834-1657Phone: (530) 749-3242Fax: (530) 749-3248
- 1275 Tharp RdYuba City, CA 95993-2645Phone: (530) 749-3242Fax: (530) 749-3248
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2020-04-09
- Certified
- 2020-04-09
Frequently asked questions
- What is Susan Wallace's NPI number?
- Susan Wallace's National Provider Identifier (NPI) is 1255402160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Wallace's specialty?
- Susan Wallace is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Susan Wallace located?
- Susan Wallace's practice location on file with NPPES is 13652 Cantara St, Panorama City, CA 91402-5423.
- What is Susan Wallace's phone number?
- The practice phone number listed in the NPPES registry for Susan Wallace is (818) 375-2000.
- Does Susan Wallace accept Medicare?
- Susan Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Wallace's NPI active?
- Yes — Susan Wallace's NPI (1255402160) is active in the NPPES registry as of the last update on 2020-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.