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
- Primary practice
-
200 Mercy Circle
Oceanside, CA 92055
(760) 719-3479
Credentials & registration
- 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
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1043208101. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$39
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Biosense Webster, Inc. | 1 | $39.03 |
By nature of payment
Frequently asked questions
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.