NPIMap

Individual provider Active NPI

Sabina Rose Wallach, M.D.

  • Hematology & Oncology Physician
  • La Jolla, CA
National Provider Identifier
1871529081
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A34070 Issued in CA
Practice address
9850 Genesee Ave
#400
La Jolla, CA 92037-1212
Phone
(858) 558-8666
Fax
(858) 558-9233
NPI assigned
Jun 23, 2006
Last updated
Aug 16, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A34070 CA Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00A340700MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000444 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4183797293 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A34070CAMDHematology & Oncology Physician
G34053CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 13, 2010 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Jun 9, 1992 Accepting new patients
Medical Oncology Associates of San Diego a Medical Group Inc Hematology & Oncology CurrentSince Apr 1, 2024 Accepting new patients
Sabina R Wallach MD AMC CurrentSince Jun 16, 1992 Accepting new patients
Scripps Health CurrentSince Jun 9, 1992 Accepting new patients
Scripps Health Past Accepting new patients
Charles R. Kossman, M.D., Inc. Hematology & Oncology Past Accepting new patients

Locations

9850 Genesee Ave
La Jolla, CA 92037
Phone (858) 453-0753

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

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

230 Prospect Pl
Ste 210
San Diego, CA 92118
Phone (619) 269-4747

3075 Health Center Dr
Ste 102
San Diego, CA 92123
Phone (858) 637-7888

4060 4th Ave
Ste 440
San Diego, CA 92103
Phone (619) 298-8891

5555 Reservoir Dr
Ste 306
San Diego, CA 92120
Phone (619) 287-9910

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: swallach28465@scrippshlth.medalliesdirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1871529081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "#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": "#400",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371212",
            "telephone_number": "858-558-8666",
            "fax_number": "858-558-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACH",
        "first_name": "SABINA",
        "middle_name": "ROSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A34070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A340700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.