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

Dr. Brandon M Wallace, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1316426679

Dr. Brandon M Wallace, DPM is a Podiatry in West Covina, California. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 2018, 8 years ago. Practices with Complete Care Community Health Center, Inc, a 45-clinician group. Licensed in California.

Years since qualifying
8
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
CA
In the registry since
2018
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1300 S Sunset Ave
West Covina, CA 91790-3342
Phone: (323) 269-5205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E5705 (CA)

Record details

NPI number1316426679
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 8, 2018
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address1300 S Sunset Ave, West Covina, CA 91790-3342

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 2018 (8 years in practice)
Group practice Complete Care Community Health Center, Inc — 45 clinicians
Accepts Medicare assignment Not indicated

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