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

Patricia A Wallace, MD

Individual provider Specialist · NPI 1629162995

Patricia A Wallace, MD is an Obstetrics/Gynecology in Mission Viejo, California. Graduated from University of Texas Medical School at Houston in 1997, 29 years ago. Practices with Incontinence and Pelvic Support Institute, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
29
Trained at
University of Texas Medical School at Houston
Licensed in
CA
In the registry since
2006
Specialties on file
2
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

26732 Crown Valley Pkwy Ste 327
Mission Viejo, CA 92691-6306
Phone: (949) 364-4400
Fax: (949) 364-2829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X · Licence A73003 (CA)
Specialist Taxonomy 174400000X · Licence A73003 (CA)

Record details

NPI number1629162995
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESAugust 19, 2014

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 1997 (29 years in practice)
Group practice Incontinence And Pelvic Support Institute — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mission Viejo