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Jennifer Katherine Wallace, PA-C

Medical Physician Assistant in Ventura, CA · enumerated 2009.

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

National Provider Identifier

1578796926

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Registry record

Entity type Individual (Type 1)
Name Jennifer Katherine Wallace
Credential PA-C
Sex Female
Practice address 2660 E Main St, Suite 204, Ventura, CA, 93003
Phone (805) 643-7500
Fax (805) 643-7501
Enumeration date Sep 2, 2009
Last updated in NPPES Sep 8, 2010

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA20925 (CA) Primary

Other identifiers

Identifier Type State Issuer
2826 Other CO PHYSICIAN ASSISTANT LICENSE
PA20925 Other CA CA PHYSICIAN ASSISTANT LICENSE

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.

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Frequently asked questions

What specialty is Jennifer Wallace?
Jennifer Wallace is registered in NPPES with the primary taxonomy of Medical Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-09-08.