Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kevin Peter Scott Wallace, MD

Internal Medicine Physician in Menlo Park, CA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255309258

Verified

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Registry record

Entity type Individual (Type 1)

Name Kevin Peter Scott Wallace

Credential MD

Sex Male

Practice address 1300 Crane St, Menlo Park, CA, 94025

Phone (650) 498-6500

Enumeration date Mar 8, 2006

Last updated in NPPES Apr 24, 2024

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License C151609 (CA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
0000992201	Medicaid	DE	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kevin Wallace?

The National Provider Identifier (NPI) for Kevin Wallace is 1255309258, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kevin Wallace practice?

The practice location on file with NPPES is in Menlo Park, CA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-24.