Steven Earl Wallace, RPA

Primary specialty

Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X

License

243U00000X

Practice address

1065 Bucks Lake Rd
Quincy, CA 95971-9507

Phone

(530) 283-7155

Fax

(530) 283-1838

NPI assigned

Jul 17, 2008

Sex

Male

Sole proprietor

Yes

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1457515587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 RIDGERUN RD",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719380",
            "telephone_number": "530-283-3504",
            "fax_number": "530-283-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 BUCKS LAKE RD",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719507",
            "telephone_number": "530-283-7155",
            "fax_number": "530-283-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "STEVEN",
        "middle_name": "EARL",
        "credential": "RPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": null,
            "license": "243U00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Curtis Vanpelt, DDS
• Brittini Wade
• Danielle Wagner Plocki, RN
• Bruce John Walker, D.C.
• Sarah Wallace
• Matthew Ward
• Cynthia Warner
• Nicole Monica Waters, PSY.D., LMFT
• Rhonda Lynne Wayson, MS
• Brittnee Wightman

• Medical Art Specialist/Technologist in Quincy, CA
• Providers in Quincy, CA by specialty
• Medical Art Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.