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Active NPI 1730852179 Individual Practitioner Male Practitioner

David Wallace , PA-C

Physician Assistant • Northridge, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

David Wallace, PA-C is a certified Physician Assistant practicing in Northridge, CA. With approximately 5 years of clinical experience since completing medical education in 2021, David Wallace delivers high-quality medical care to the local community at 18350 ROSCOE BLVD # 702.

David Wallace is affiliated with United Medical Doctors and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

18350 Roscoe Blvd # 702

Northridge, CA 913254109

Telephone 8182805961
Fax 8182805983

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Northridge, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -6.8 yrs vs City Avg
City Avg: 11.8 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
21 Specialists

Practicing in Northridge, CA (14617 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (5 Years) 5 Yrs
Northridge Specialty Average (11.8 Years) 11.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-08-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA59863

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

United Medical Doctors

400 Newport Ctr Dr, Newport Beach, CA 926607695

Phone: 9497600398

Secondary Practice Locations

5555 Inglewood Blvd

Culver City, CA 902306226

Phone: 4245321552

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Daniel Eshaghian , DO

Internal Medicine - Gastroenterology

NPI 1275943128

Doctor of Osteopathic Medicine (D.O.)

Ailyn Baldorado

Nurse Practitioner - Family

NPI 1528666013
Dr. Suhail Salem , MD

Internal Medicine - Gastroenterology

NPI 1750547030

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address August 28, 2025

Registered at 18350 ROSCOE BLVD # 702, NORTHRIDGE, CA 913254109 (Tel: 8182805961)

NPI Profile Active July 30, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2021

Registered at 18350 ROSCOE BLVD # 702, NORTHRIDGE, CA 913254109 (Tel: 8182805961)

📍
Updated Business Mailing Address July 30, 2021

Registered at 793 ELM ST APT 7, SAN CARLOS, CA 940703076 (Tel: 6508629145)

👤
Provider Name / Credentials Updated July 30, 2021

Recorded as DAVID WALLACE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2021

Physician Assistant (License #PA59863 in CA)

🟢
Initial NPI Registration & Enumeration July 30, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730852179
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2021
Last Update: August 28, 2025
Sole Proprietor: No

Mailing Address

18350 Roscoe Blvd # 702

Northridge, CA 913254109

Phone: 8182805961

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.