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

Aminah Wallace, NP

Individual provider Acute Care Nurse Practitioner · NPI 1790677912

Aminah Wallace, NP is a Nurse Practitioner in Antioch, California. Qualified in 2017, 9 years ago. Practices with Harbor Wound Care P C, a 27-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

2648 Carson Way
Antioch, CA 94531-8270
Phone: (619) 534-5998
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95032514 (CA)

Record details

NPI number1790677912
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 21, 2025
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025
Mailing address2648 Carson Way, Antioch, CA 94531-8270

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Harbor Wound Care P C — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Antioch