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

Susan L. Wallace, MD

Individual provider Psychiatry Physician · NPI 1255402160

Susan L. Wallace, MD is a Psychiatry in Panorama City, California. Graduated from New York Medical College in 1979, 47 years ago. Practices with Clinica Sierra Vista, a 184-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
47
Trained at
New York Medical College
Licensed in
CA
In the registry since
2006
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

13652 Cantara St
Panorama City, CA 91402-5423
Phone: (818) 375-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5730 Packard Ave Ste 500, Marysville, CA 95901-7119 — (530) 749-3242
  • 3810 Rosin Ct Ste 100, Sacramento, CA 95834-1657 — (530) 749-3242
  • 1275 Tharp Rd, Yuba City, CA 95993-2645 — (530) 749-3242

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence G42602 (CA)

Record details

NPI number1255402160
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020
Mailing address13652 Cantara St, Panorama City, CA 91402-5423

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1979 (47 years in practice)
Group practice Clinica Sierra Vista — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Panorama City