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

Dr. Mark S Wallace, MD

Individual provider Anesthesiology Physician · NPI 1427098102

Dr. Mark S Wallace, MD is an Anesthesiology in San Diego, California. Graduated from Creighton University School of Medicine in 1987, 39 years ago. Practices with Regents of the University of California, a 2,061-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
39
Trained at
Creighton University School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

UCSD Medical Center 200 West Arbor Drive Mc 0801
San Diego, CA 92103
Phone: (619) 543-5720
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Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence G72906 (CA)
Anesthesiology Physician Taxonomy 207L00000X · Licence G72906 (CA)

Record details

NPI number1427098102
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESAugust 21, 2018

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Also practisesPAIN MANAGEMENT
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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