Rachel Anne Wallace

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

760 Mountain View St
Altadena, CA 91001-4996

Phone

(626) 798-6793

NPI assigned

Sep 14, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1275360299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 MOUTAIN VIEW ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "91001",
            "telephone_number": "626-626-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 MOUNTAIN VIEW ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014996",
            "telephone_number": "626-798-6793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "867 N Fair Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911033050",
            "country_code": "US",
            "telephone_number": "626-798-6793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Viton
• Nicolas Dennis Vlachakis, M.D.
• Tram-Anh (Julie) Hoang Vo
• Barbara Waffer
• Melvin Walker Sr. Sr.
• Danny Wang
• Jonalisa Ware
• Jordan Warlick
• Bronson Pena Washington
• Robin Washington, LCSW

• Rehabilitation Practitioner in Altadena, CA
• Providers in Altadena, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.