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

Dr. Roger Charles Wallace, MD

Individual provider Emergency Medicine Physician · NPI 1083645501

Dr. Roger Charles Wallace, MD is an Emergency Medicine in Valencia, California. Graduated from University of California, Geffen School of Medicine in 1998, 28 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone: (661) 253-8112
Fax: (661) 253-8119
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A71306 (CA)

Record details

NPI number1083645501
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 5, 2006
Last updated in NPPESJuly 7, 2008
Mailing addressPo Box 661540, Arcadia, CA 91066-1540

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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