Stephanie Celeste Wallace, PA-C
Stephanie Celeste Wallace, PA-C is a Physician Assistant in Vista, California. Qualified in 2005, 21 years ago. Practices with Women's Health Center of Southern Oregon PC, a 15-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 21
- Licensed in
- CA
- In the registry since
- 2009
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1000 Vale Terrace DrVista, CA 92084-5218
Phone: (760) 631-5000
Fax: (760) 414-3892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA19629 (CA) |
|---|
Record details
| NPI number | 1518104942 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | January 7, 2009 |
| Last updated in NPPES | September 13, 2010 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Women'S Health Center Of Southern Oregon Pc — 15 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Vista
-
Keisy Elizabeth Sanchez, PA-C
969 S Santa Fe Ave Ste A, Vista, CA 92083-6910 · (760) 941-7050
-
Julianne Elizabeth Schlichting-Bader, PA-C, PHARMD
2067 W Vista Way Ste 250, Vista, CA 92083-6034 · (562) 490-9900
-
Rhea Tamondong, PA-C
561 W Bobier Dr Apt 202, Vista, CA 92083-1828 · (661) 964-9619
-
Rayna Vinson, PA-C
1964 Via Ctr, Vista, CA 92081-6056 · (888) 743-7526
-
April Hebard Weaver, MPA, PA-C
1000 Vale Terrace Dr, Vista, CA 92084-5218 · (760) 631-5000