Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. James Doran Wallace, PA, DC

Individual provider Medical Physician Assistant · NPI 1013124908

Dr. James Doran Wallace, PA, DC is a Medical Physician Assistant in Roseville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1650 Lead Hill Blvd Ste 600
Roseville, CA 95661-3061
Phone: (916) 765-3785
Fax: (916) 361-9869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA14039 (CA)
Orthopedic Chiropractor Taxonomy 111NX0800X · Licence 12087 (CA)

Record details

NPI number1013124908
Entity typeIndividual (Type 1)
GenderMale
Credentials PA , DC
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESMay 16, 2009

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