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

Jamie Elise Wallach, MD

Individual provider Pediatric Obesity Medicine Physician · NPI 1154465672

Jamie Elise Wallach, MD is a Pediatric Medicine in Alameda, California. Qualified in 1993, 33 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
33
Licensed in
CA
In the registry since
2007
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 →

Practice location Address checks out

1332 Park St Ste 202
Alameda, CA 94501-4545
Phone: (510) 523-3417
Fax: (510) 521-1659
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G79903 (CA)
Pediatric Obesity Medicine Physician Taxonomy 2080B0002X · Licence G79903 (CA)

Record details

NPI number1154465672
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 16, 2007
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services