Donald E. Wallens, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G12632 Issued in CA

Practice address

2080 Century Park E Ste 1406
Los Angeles, CA 90067-2017

Phone

(310) 556-2095

Fax

(310) 556-2063

NPI assigned

Sep 22, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

JS Weill Medical College, Cornell University, 1963

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Donald E Wallens MD a Medical Corp

  dba Donald E Wallens MD A Medical Corporation

  • Specialist
  • Los Angeles, CA
  • NPI 1982916037
  Medicare reassignment NPD

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1952401762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1406",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672017",
            "telephone_number": "310-556-2095",
            "fax_number": "310-556-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1406",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672017",
            "telephone_number": "310-556-2095",
            "fax_number": "310-556-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLENS",
        "first_name": "DONALD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G12632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006126320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Dean Wallace, MD
• Zemeris E Wallace
• Suzanne Marie Wallach, LMFT
• Agnes Soriano Wallbom, M.D., M.S.
• Drew Alan Walleck, ESQ.
• Jonathan M Waller, MA CCC-SLP
• Todd Steven Waller, M.D.
• Wynton Wallers
• Derek Wallin, D.D.S.
• Benjamin William Walline, DDS, MD

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.

Verify at the official NPI Registry.