Matthew Wallace, NP
NPI 1881177806 · Nurse Practitioner · San Diego, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Wallace, NP is a Nurse Practitioner provider in San Diego, CA (NPI 1881177806).
Provider details
- NPI number
- 1881177806
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- NP95010225 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- 2018-09-14
- Last updated
- 2018-12-10
Frequently asked questions
- What is Matthew Wallace's NPI number?
- Matthew Wallace's National Provider Identifier (NPI) is 1881177806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Wallace's specialty?
- Matthew Wallace is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Matthew Wallace located?
- Matthew Wallace's practice location on file with NPPES is 200 W Arbor Dr, San Diego, CA 92103-9000.
- What is Matthew Wallace's phone number?
- The practice phone number listed in the NPPES registry for Matthew Wallace is (619) 306-5855.
- Does Matthew Wallace accept Medicare?
- Matthew Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Wallace's NPI active?
- Yes — Matthew Wallace's NPI (1881177806) is active in the NPPES registry as of the last update on 2018-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.