Jason Wallace, PTA

ActiveIndividual ProviderSpecialty not listed
NPI issued: November 1, 2005

Quick Facts

NPI Number
1891786646
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy225200000X — Specialty not listed
Phone
(805) 484-5447
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1891786646)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (November 1, 2005)
Data source: CMS NPPES

Provider Overview

JASON WALLACE, PTA is a Healthcare provider based in Camarillo, CA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1891786646
Provider TypeIndividual Provider
GenderMale
CredentialPTA
StatusActive
Enumeration DateNovember 1, 2005

Practice Location

CityCamarillo
StateCA
ZIP Code93010-2376
Phone(805) 484-5447

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code225200000X
License StateCA

Mailing Address

CityCamarillo
StateCA
ZIP Code93010-2376
Phone(805) 484-5447
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1891786646 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1891786646for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1891786646 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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61,358
Specialty not listed Providers in the US

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Pamela Mikita, PTA

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Jaclyn Salle

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Lynn Garcia-galan, MD

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David Lowe, MD

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People Also Ask

What is Jason Wallace's NPI number?
Jason Wallace's NPI number is 1891786646, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jason Wallace's NPI currently active?
Yes, Jason Wallace's NPI status is Active as of the latest CMS NPPES database updates.
What does Jason Wallace specialize in?
Jason Wallace specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 225200000X.
Where does Jason Wallace practice?
Jason Wallace practices in Camarillo, CA 93010-2376.
When was Jason Wallace's NPI issued?
Jason Wallace's NPI was issued on November 1, 2005.
What is Jason Wallace's provider type?
Jason Wallace is registered as an Individual Provider under CMS NPI Type 1.