Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Scott C. Wallace MD Inc

Organization Anesthesiology Physician · NPI 1104394329

Scott C. Wallace MD Inc is an Anesthesiology Physician in El Centro, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1415 Ross Ave
El Centro, CA 92243-4306
Phone: (301) 305-5959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Pediatric Anesthesiology Physician Taxonomy 207LP3000X

Record details

NPI number1104394329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Wallace — Owner/Physician · (765) 284-0493
NPI enumeratedNovember 6, 2018
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020
Mailing addressPo Box 112, Muncie, IN 47308-0112

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