Jefferey Wallace
NPI 1902023070 · Student in an Organized Health Care Education/Training Program · Santa Cruz, CA
Jefferey Wallace is a Student in an Organized Health Care Education/Training Program provider in Santa Cruz, CA (NPI 1902023070).
Provider details
- NPI number
- 1902023070
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Counselor101Y00000X
Behavioral Health & Social Service Providers
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
83% of core fields populated
- Practice footprint23% of score
2 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.
Practice location
Mailing address
Additional practice locations (1)
- 6980 Chestnut StGilroy, CA 95020-6635Phone: (408) 842-7138
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2025-08-26
- Certified
- 2025-08-26
Frequently asked questions
- What is Jefferey Wallace's NPI number?
- Jefferey Wallace's National Provider Identifier (NPI) is 1902023070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jefferey Wallace's specialty?
- Jefferey Wallace is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jefferey Wallace located?
- Jefferey Wallace's practice location on file with NPPES is 1400 Emeline Ave Bldg K, Santa Cruz, CA 95060-1976.
- What is Jefferey Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jefferey Wallace is (831) 345-7746.
- Is Jefferey Wallace's NPI active?
- Yes — Jefferey Wallace's NPI (1902023070) is active in the NPPES registry as of the last update on 2025-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.