Doctor profile · Federal record
Dr. Kenneth Wallis, M.D.
Psychiatry Physician · Psychiatry Physician · Davis, CA
- NPI 1649243692
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1260 Lake Blvd, Suite #214
Davis, CA 956162614
(530) 771-2308
fax (530) 771-2309 - Additional location
-
40925 County Center Dr Ste 2002Nd
Temecula, CA 925916054
(951) 600-6300
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- July 9, 2021
- Specialty taxonomy
- 2084P0800X — NUCC code
- State licenses (2)
- Utah #811674181205 · California #C-41960
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649243692. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$553
Transactions
9
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Neurocrine Biosciences, INC. | 2 | $155.85 | |
| E.R. Squibb & Sons, L.L.C. | 3 | $134.51 | |
| Iti, INC. (D/B/A Intra-Cellular Therapies, INC.) | 1 | $125.00 | |
| Teva Pharmaceuticals USA, INC. | 1 | $99.06 | |
| Otsuka Pharmaceutical Development & Commercialization, INC. | 1 | $25.92 | |
| Abbvie INC. | 1 | $13.07 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
23
Patients
0
Total drug cost
$292
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ziprasidone Hcl | Generic | 12 | 0 | $286 |
| Fluoxetine Hcl | Generic | 11 | 0 | $6 |
Frequently asked questions
What is Dr. Kenneth Wallis's medical specialty?
Dr. Kenneth Wallis practices Psychiatry Physician in Davis, CA.
Where does Dr. Kenneth Wallis practice?
Dr. Kenneth Wallis practices at 1260 Lake Blvd, Davis, CA 956162614. Office phone: 5307712308.
What is Dr. Kenneth Wallis's NPI?
Dr. Kenneth Wallis's National Provider Identifier (NPI) is 1649243692, issued by NPPES.