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

Wallace Blake McKinney, MD

Individual provider Emergency Medicine Physician · NPI 1174790224

Wallace Blake McKinney, MD is an Emergency Medicine in Sacramento, California. Qualified in 2007, 19 years ago. Practices with Vituity-California Observation Services PC, a 84-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4150 V St Pssb 2100
Sacramento, CA 95817-1460
Phone: (916) 734-8571
Fax: (916) 734-7950
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A105593 (CA)

Record details

NPI number1174790224
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 8, 2008
Last updated in NPPESSeptember 24, 2008

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Vituity-California Observation Services Pc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sacramento