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

Ellen Wallace, MD

Individual provider Family Medicine Physician · NPI 1427685734

Ellen Wallace, MD is a Family Practice in Albany, California. Graduated from University of Massachusetts Medical School in 2020, 6 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Trained at
University of Massachusetts Medical School
Licensed in
CA
In the registry since
2020
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

500 San Pablo Ave
Albany, CA 94706-1103
Phone: (510) 204-8130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A191094 (CA)

Record details

NPI number1427685734
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024
Mailing address22 Dustin St Apt 1, Worcester, MA 01604-6006

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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