GRANT C. WALLACE M.D. – NPI #1043208101
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
GRANT WALLACE is a radiologist located in OCEANSIDE, CA. NPPES has assigned the NPI number 1043208101 to GRANT WALLACE on October 12, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology
The NPI profile was previously updated about 3 years ago on Sep 25, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRANT WALLACE below.
NPI Profile for
GRANT C. WALLACE
(more than 20 years ago)
OCEANSIDE, CA 92055 Phone: (760) 719-3479 Fax:
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2085R0202X - Radiology / Diagnostic Radiology (Primary) |
CA | G80310 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.