DR. MICHAEL J. WALLACE (M.D.) – Anesthesiology Physician, NPI 1144304353

Anesthesiology Physician

DR. MICHAEL J. WALLACE (M.D.) is a healthcare provider. based in Los angeles, California. specializing in Anesthesiology Physician. They hold the professional credentials M.D.. They hold a License No. C41232 (CA). The NPI Number for DR. MICHAEL J. WALLACE (M.D.) is 1144304353

Main info

Male

Sole Proprietor

44 Years Of Experience

Accepts Medicare Assignment

Name

DR. MICHAEL J. WALLACE (M.D.)

NPI

1144304353

Phone

(310) 471-5852

Address

11999 SAN VICENTE BLVD

Enumeration Date

24 October 2006

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO

Secondary Phone

3104772465

Graduation Year

1982 (44 years ago)

PAC ID

8921274762

Group Practice PAC ID

2466490560

Professional Enrollment ID

I20111229000243

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MICHAEL J. WALLACE (M.D.)

San Vicente Boulevard, Mid-Wilshire, Los Angeles, Los Angeles County, California, 90019, United States
#440
LOS ANGELES, CA 900495131
Phone: (310) 471-5852
Fax: (310) 471-3958
Type: Mailing
22nd Street, Santa Monica, Los Angeles County, California, 90405, United States
SANTA MONICA, CA 904042032
Phone: (310) 471-5852
Fax: (310) 471-3958
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90049)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2466490560View full group profile

Name	Specialty	State
DR. BIJAN NAVIDI (M.D.)	A N E S T H E S I O L O G Y	CA
DR. ERNA M. KWONG (M.D.)	-	CA
DANIEL CHERKASSKY (MD)	A N E S T H E S I O L O G Y	CA
KIRTIKA PATEL	-	CA
DR. DAVID ASHER RAKOFF (M.D.)	A N E S T H E S I O L O G Y	CA
DR. KEVIN M. MILLER (M.D.)	A N E S T H E S I O L O G Y	CA
DR. STAN TOVSKY (MD)	Anesthesiology, Pain Management	CA
LISA VIDATO (MD)	A N E S T H E S I O L O G Y	CA
DR. ANNIE DA LEE (MD)	A N E S T H E S I O L O G Y	CA
MATTHEW CHO (M.D.)	-	CA

Reviews

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Frequently asked questions

How is DR. MICHAEL J. WALLACE (M.D.) identified in CMS data?

CMS-hosted NPPES data lists DR. MICHAEL J. WALLACE (M.D.) with NPI 1144304353.

Is DR. MICHAEL J. WALLACE (M.D.) still practicing?

DR. MICHAEL J. WALLACE (M.D.) is currently listed as active in the public NPI registry.

What taxonomy line describes DR. MICHAEL J. WALLACE (M.D.)?

For research purposes, treat DR. MICHAEL J. WALLACE (M.D.) as Anesthesiology Physician in this dataset. Clinical services aligned with this taxonomy classification.

Does DR. MICHAEL J. WALLACE (M.D.) list a practice location?

Patients near Los Angeles, California may find DR. MICHAEL J. WALLACE (M.D.) in results; validate coverage separately.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.

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