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

Jared Andrew Wallace, MD

Individual provider Medical Oncology Physician · NPI 1760010987

Jared Andrew Wallace, MD is a Hematology/Oncology in Stanford, California. Graduated from University of Utah School of Medicine in 2020, 6 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
6
Trained at
University of Utah School of Medicine
Licensed in
CA
In the registry since
2020
Specialties on file
3
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

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Pasteur Drive, Lane 154, Stanford, CA 94305-5133 — (650) 723-6661

Specialties & licences

Hematology (Internal Medicine) Physician (primary) Taxonomy 207RH0000X · Licence A178913 (CA)
Medical Oncology Physician Taxonomy 207RX0202X · Licence A178913 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A178913 (CA)

Record details

NPI number1760010987
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address300 Pasteur Dr, Stanford, CA 94305-2200

Medicare enrollment

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

Medicare specialtyHEMATOLOGY/ONCOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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