Jefferey Wallace
Student in An Organized Health Care Education/Training Program · Santa Cruz
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Jefferey Wallace’s office at (831) 345-7746 to ask if they take your plan before you enroll.
Professional record
- NPI
- 1902023070
More record details
- Sole proprietor
- No
- Taxonomy
- Student in a training program (390200000X); Federal specialty code 101Y00000X (101Y00000X)
- Mailing address
- 125 Blaine St Apt I, Santa Cruz, CA, 95060
- NPI first listed
- 2007-04-19
- NPI last updated
- 2025-08-26
- NPI record certified
- 2025-08-26
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 6980 Chestnut St, Gilroy, CA, 95020