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

Stacia Marie Wallace

Individual provider Case Manager/Care Coordinator · NPI 1750995452

Stacia Marie Wallace is a Case Manager/Care Coordinator in Sacramento, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

3815 Marconi Ave
Sacramento, CA 95821-3867
Phone: (916) 890-3000
Show map & directions

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

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1750995452
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 1, 2020
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

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