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

David Carter Wallace, DO

Individual provider Nephrology Physician · NPI 1396364402

David Carter Wallace, DO is a Nephrology in Northridge, California. Graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2020, 6 years ago. Practices with Osu Internal Medicine LLC, a 1,145-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
Touro Un Col of Osteopathic Medicine, Henderson
Licensed in
CA
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

18250 Roscoe Blvd
Northridge, CA 91325-4226
Phone: (818) 796-2920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 20A25571 (CA)

Record details

NPI number1396364402
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 9, 2020
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated 2020 (6 years in practice)
Group practice Osu Internal Medicine Llc — 1145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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