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

Wallace Blake McKinney Medical Group of California

Organization Emergency Medicine Physician · NPI 1861977415

Wallace Blake McKinney Medical Group of California is an Emergency Medicine Physician in Elk Grove, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

9245 Laguna Springs Dr Ste 200
Elk Grove, CA 95758-7991
Phone: (916) 215-4554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1861977415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Dutton — Medical Director · (916) 215-4554
NPI enumeratedSeptember 29, 2018
Last updated in NPPESMarch 15, 2021
Certification dateFebruary 19, 2021
Mailing address3513 Brighton Blvd Ste 230, Denver, CO 80216-3606

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