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

Dr. Nicolai Lynge Wallace, MD

Individual provider Internal Medicine Physician · NPI 1588241863

Dr. Nicolai Lynge Wallace, MD is a Hospitalist in San Diego, California. Graduated from University of Washington School of Medicine in 2021, 5 years ago. Practices with 24 on Physicians of California PC, a 58-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
University of Washington School of Medicine
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (619) 543-6268
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 4077 Fifth Ave, San Diego, CA 92103-2105 — (619) 260-7125

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence A194552 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A194552 (CA)

Record details

NPI number1588241863
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice 24 On Physicians Of California Pc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Diego