Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Caronia Philesia Wallace-Fair, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982996195

Miss. Caronia Philesia Wallace-Fair, DO is a Student in an Organized Health Care Education/Training Program in Madera, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9300 Valley Childrens Pl
Madera, CA 93636-8761
Phone: (559) 353-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PP0204X · Licence 15444 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982996195
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 5, 2011
Last updated in NPPESJuly 21, 2022

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