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

William Dean Wallace, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1245269943

William Dean Wallace, MD is a Pathology in Los Angeles, California. Graduated from Rush Medical College of Rush University in 2000, 26 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Trained at
Rush Medical College of Rush University
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

1500 San Pablo St
Los Angeles, CA 90033-5313
Phone: (323) 442-2582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence A77909 (CA)

Record details

NPI number1245269943
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 8, 2020

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2000 (26 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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