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

Andrew Michael Wallin

Individual provider Community Health Worker · NPI 1053253997

Andrew Michael Wallin is a Community Health Worker in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

4065 County Circle Dr
Riverside, CA 92503-3410
Phone: (951) 892-9873
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)

Record details

NPI number1053253997
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 8, 2026
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address12698 Andretti St, Moreno Valley, CA 92553-5203

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