Organization Active NPI

Sabina R. Wallach, M.D. a Medical Corp

  • Specialist
  • La Jolla, CA
National Provider Identifier
1376735886
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A34070 Issued in CA
Legal business name
SABINA R. WALLACH, M.D. A MEDICAL CORP
Practice address
9850 Genesee Ave
Suite 400
La Jolla, CA 92037-1212
Phone
(858) 558-8666
Fax
(858) 558-8666
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Joan L Robinson
Title
Office Manager
Phone
(858) 558-8666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A34070 CA Primary

Addresses

Primary practice location

9850 Genesee Ave
Suite 400
La Jolla, CA 92037-1212

Mailing address

9850 Genesee Ave
Suite 400
La Jolla, CA 92037-1212
Phone (858) 558-8666

National Provider Directory

National Provider Directory
Tax ID family
Sabina R Wallach MD a Medical Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1376735886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 400",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371212",
            "telephone_number": "858-558-8666",
            "fax_number": "858-558-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 400",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371212",
            "telephone_number": "858-558-8666",
            "fax_number": "858-558-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABINA R. WALLACH, M.D. A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-558-8666"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A34070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.