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

Dr. Wallace Jack Schwam, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1902144694

Dr. Wallace Jack Schwam, MD is a Geriatric Medicine (Internal Medicine) Physician in Pismo Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

210 Indio Dr
Pismo Beach, CA 93449-1514
Phone: (805) 231-8699
Show map & directions

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

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence GFE12267 (CA)

Record details

NPI number1902144694
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 30, 2013
Last updated in NPPESJanuary 30, 2013
Mailing addressPo Box 1158, Solvang, CA 93464-1158

Other providers in Pismo Beach