Wallace Home Medical Supplies
NPI 1902200918 · Durable Medical Equipment & Medical Supplies · San Luis Obispo, CA
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1902200918
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Wallace Home Medical Supplies
- Organization subpart
- Yes
- Authorized official
- Matthew Wallace, President(805) 238-3935
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Other names (DBA / former)
- Doing business as
- Wallace Home Medical Supplies
Registry dates
- Enumerated
- 2014-10-20
- Last updated
- 2015-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.