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

Kevin Peter Scott Wallace, MD

Individual provider Internal Medicine Physician · NPI 1255309258

Kevin Peter Scott Wallace, MD is an Internal Medicine in Menlo Park, California. Qualified in 1988, 38 years ago. Practices with University Healthcare Alliance, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
38
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1300 Crane St
Menlo Park, CA 94025-4260
Phone: (650) 498-6500
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence C151609 (CA)

Record details

NPI number1255309258
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address1300 Crane St, Menlo Park, CA 94025-4283

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice University Healthcare Alliance — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Menlo Park