Doctor profile · Federal record

Dr. Grant Wallace, M.D.

Diagnostic Radiology Physician · Oceanside, CA

  • NPI 1043208101
  • 21 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
200 Mercy Circle
Oceanside, CA 92055
(760) 719-3479

Credentials & registration

NPPES · NUCC
NPI registered
October 2005 — 21 yrs on file
Profile last updated
September 25, 2023
Specialty taxonomy
2085R0202X — NUCC code
State license (1)
California #G80310

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1043208101. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$39
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Biosense Webster, Inc. 1 $39.03

By nature of payment

Food and Beverage
$39

Frequently asked questions

Auto-generated from federal data
What is Dr. Grant Wallace's medical specialty?
Dr. Grant Wallace practices Diagnostic Radiology Physician in Oceanside, CA.
Where does Dr. Grant Wallace practice?
Dr. Grant Wallace practices at 200 Mercy Circle, Oceanside, CA 92055. Office phone: 7607193479.
What is Dr. Grant Wallace's NPI?
Dr. Grant Wallace's National Provider Identifier (NPI) is 1043208101, issued by NPPES.