Doctor profile · Federal record
Dr. La Tanya Wallace, FNP
Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Registered Nurse · Nurse Practitioner · Family Nurse Practitioner · Family Nurse Practitioner · San Diego, CA
- NPI 1841453487
- Accepts Medicare
- 14 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6921 Sperry CT
San Diego, CA 921117030
(858) 717-0164
fax (888) 425-0508
Credentials & registration
- NPI registered
- July 2008 — 18 yrs on file
- Profile last updated
- January 28, 2024
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 363LP0808X — NUCC code
- State licenses (2)
- California #22485 · California #680663
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1841453487. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$100
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Corcept Therapeutics | 1 | $100.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
24
Patients
0
Total drug cost
$120
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Citalopram Hbr (Citalopram Hydrobromide) | Brand | 12 | 0 | $24 |
| Divalproex Sodium | Generic | 12 | 0 | $95 |
Frequently asked questions
What is Dr. La Tanya Wallace's medical specialty?
Dr. La Tanya Wallace practices Psychiatric/Mental Health Nurse Practitioner in San Diego, CA.
Where does Dr. La Tanya Wallace practice?
Dr. La Tanya Wallace practices at 6921 Sperry CT, San Diego, CA 921117030. Office phone: 8587170164.
What is Dr. La Tanya Wallace's NPI?
Dr. La Tanya Wallace's National Provider Identifier (NPI) is 1841453487, issued by NPPES.
Does Dr. La Tanya Wallace accept Medicare assignment?
Yes. Dr. La Tanya Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.