Ebony Wallace
NPI 1720532526 · Psychiatric/Mental Health Registered Nurse · Culver City, CA
Ebony Wallace is a Psychiatric/Mental Health Registered Nurse provider in Culver City, CA (NPI 1720532526).
Provider details
- NPI number
- 1720532526
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 747356 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2016-08-09
- Last updated
- 2016-08-09
Frequently asked questions
- What is Ebony Wallace's NPI number?
- Ebony Wallace's National Provider Identifier (NPI) is 1720532526, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebony Wallace's specialty?
- Ebony Wallace is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Registered Nurse (Nursing Service Providers).
- Where is Ebony Wallace located?
- Ebony Wallace's practice location on file with NPPES is 9808 Venice Blvd, Culver City, CA 90232-2732.
- What is Ebony Wallace's phone number?
- The practice phone number listed in the NPPES registry for Ebony Wallace is (310) 945-3350.
- Is Ebony Wallace's NPI active?
- Yes — Ebony Wallace's NPI (1720532526) is active in the NPPES registry as of the last update on 2016-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.