Alice Wallack, MD
NPI 1316957103 · Internal Medicine Physician · Pismo Beach, CA
Alice Wallack, MD is a Internal Medicine Physician provider in Pismo Beach, CA (NPI 1316957103).
Provider details
- NPI number
- 1316957103
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- G45399 (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
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
- 2006-08-08
- Last updated
- 2012-05-09
Frequently asked questions
- What is Alice Wallack's NPI number?
- Alice Wallack's National Provider Identifier (NPI) is 1316957103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alice Wallack's specialty?
- Alice Wallack is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Alice Wallack located?
- Alice Wallack's practice location on file with NPPES is 931 Oak Park Blvd, Pismo Beach, CA 93449-3402.
- What is Alice Wallack's phone number?
- The practice phone number listed in the NPPES registry for Alice Wallack is (805) 474-2600.
- Is Alice Wallack's NPI active?
- Yes — Alice Wallack's NPI (1316957103) is active in the NPPES registry as of the last update on 2012-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.