Active NPI
Wallace Henry Torbert III, PA-C
- Physician Assistant
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9116491
- Practice address
- 1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628 - Phone
- (415) 658-6791
- Fax
- (415) 252-7176
- NPI assigned
- Dec 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA101520 | MA | |
| Physician Assistant | 363A00000X | 010232 | GA | |
| Physician Assistant | 363A00000X | 11007 | AZ | |
| Physician Assistant | 363A00000X | PA.0009167 | CO | |
| Physician Assistant | 363A00000X | PA9116491 | FL | Primary |
Addresses
Primary practice location
1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628
Mailing address
1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2332 Galiano St
FL 2
Coral Gables, FL 33134-5402
Phone (337) 991-9276
65 Origins Pkwy
Inlet Beach, FL 32461-8702
Phone (337) 991-9276
95 Grand Heron Dr
Panama City Beach, FL 32407-2553
Phone (337) 991-9276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010232 | GA | MD | Speech-Language Pathologist |
| 11007 | AZ | MD | Physician Assistant |
| PA.0009167 | CO | MD | Physician Assistant |
| PA9116491 | FL | MD | Physician Assistant |
| PA101520 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Physician Practices LLC | Current | Accepting new patients | |
| St Francis Physician Practices LLC | Current | Accepting new patients | |
| Quality Drive Emergency Physicians LLC | Past | Accepting new patients |
Locations
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
2000 16th Ave
Columbus, GA 31901
Phone (706) 320-3700
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Internal Medicine Physician
- Coral Gables, FL
- NPI 1013628676
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1770521460
-
- Family Medicine Physician
- Columbus, GA
- NPI 1326749417
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1710595640
-
- Surgery Physician
- Columbus, GA
- NPI 1699140038
-
- Gastroenterology Physician
- Columbus, GA
- NPI 1609655646
-
- Emergency Medicine Physician
- Spring Hill, FL
- NPI 1093998833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1679169783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR FL 19",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR FL 19",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113628",
"telephone_number": "415-658-6791",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORBERT",
"first_name": "WALLACE",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-14",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA101520",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "010232",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "11007",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0009167",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9116491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.