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

Thomas M Wallace, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1679641666

Thomas M Wallace, MD is an Internal Medicine in Modesto, California. Graduated from University of Southern California Keck School of Medicine in 1979, 47 years ago. Practices with Hospitalists of Modesto Medical Group Inc, a 86-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
47
Trained at
University of Southern California Keck School of Medicine
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

1441 Florida Ave
Modesto, CA 95350-4405
Phone: (209) 576-3525
Fax: (209) 576-3544
Show map & directions

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

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence G42269 (CA)

Record details

NPI number1679641666
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1441 Florida Ave, Modesto, CA 95350-4405

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1979 (47 years in practice)
Group practice Hospitalists Of Modesto Medical Group Inc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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