Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

David Wallace , PA-C

Physician Assistant β€’ Northridge, CA

Active NPI 1730852179 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

18350 Roscoe Blvd # 702
Northridge, CA 913254109

Call 8182805961 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

18350 Roscoe Blvd # 702

Northridge, CA 913254109

Telephone 8182805961
Fax 8182805983
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Culver City, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: United Medical Doctors. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2021

30-day fills

1,298 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$190,378 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,399.47 across 58 records.

By nature of payment

  • Food and Beverage: $1,399.47 across 58 records.

Reporting-company totals (3 largest of 17)

  • Madrigal Pharmaceuticals: $249.15 across 12 records.
  • Salix Pharmaceuticals, a division of Bausch Health US, LLC: $199.40 across 10 records.
  • ABBVIE INC.: $193.67 across 8 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

David Wallace has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists David Wallace as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Northridge and California

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Northridge, CA (2024, 16 clinicians with data). Median for this group: 217. Middle half: 112 to 807.

More Part D prescriptions than 75% of clinicians listed under Physician Assistant in California (2024, 7,546 clinicians with data). Median for this group: 228. Middle half: 72 to 717.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Northridge, CA (2024, 16 clinicians with data). Median for this group: $4,089. Middle half: $1,139 to $31,912.

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in California (2024, 7,546 clinicians with data). Median for this group: $3,944. Middle half: $710 to $60,219.

23 active clinicians are listed under Physician Assistant with a practice address in Northridge, CA (14,777 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Northridge

8.7% of these 23 clinicians have the CMS telehealth indicator.

52.2% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 58 records totaling $1,399.47.

Manufacturer Payment Nature Product Type Amount ($)
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $45.43
QOL Medical, LLC
Food and Beverage
In-kind items and services
Sucraid General $42.46
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $41.76
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $39.73
Phathom Pharmaceuticals, Inc.
Food and Beverage
Cash or cash equivalent
VOQUEZNA General $34.75
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $34.65
Phathom Pharmaceuticals, Inc.
Food and Beverage
Cash or cash equivalent
VOQUEZNA General $33.95
ABBVIE INC.
Food and Beverage
In-kind items and services
CREON General $33.64
Phathom Pharmaceuticals, Inc.
Food and Beverage
Cash or cash equivalent
VOQUEZNA General $32.66
ABBVIE INC.
Food and Beverage
In-kind items and services
LINZESS General $32.54
Phathom Pharmaceuticals, Inc.
Food and Beverage
Cash or cash equivalent
VOQUEZNA General $31.70
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $31.54
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $31.49
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $30.29
QOL Medical, LLC
Food and Beverage
In-kind items and services
Sucraid General $30.00
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
REXULTI General $29.87
ABBVIE INC.
Food and Beverage
In-kind items and services
LINZESS General $29.29
ABBVIE INC.
Food and Beverage
In-kind items and services
LINZESS General $29.05
Lundbeck LLC
Food and Beverage
Cash or cash equivalent
REXULTI General $28.95
Almatica Pharma LLC
Food and Beverage
In-kind items and services
LOREEV XR General $28.57
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $27.94
Axsome Therapeutics, Inc.
Food and Beverage
In-kind items and services
Auvelity General $27.68
Almatica Pharma LLC
Food and Beverage
In-kind items and services
LOREEV XR General $26.81
Lundbeck LLC
Food and Beverage
Cash or cash equivalent
REXULTI General $26.28
Ipsen Biopharmaceuticals, Inc
Food and Beverage
In-kind items and services
IQIRVO General $25.78

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Pantoprazole Sodium Pantoprazole Sodium 193 11,332 $1,814.72 93
Dicyclomine Hcl Dicyclomine Hcl 94 1,311 $900.67 44
Gavilyte-G Peg3350/Sod Sulf,bicarb,cl/Kcl 85 96 $1,238.10 82
Omeprazole Omeprazole 78 5,491 $806.75 27
Linzess Linaclotide 76 3,720 $67,147.07 29
Famotidine Famotidine 51 3,252 $544.33 20
Sutab Sod Sulf/Pot Chloride/Mag Sulf 41 134 $6,715.76 41
Lubiprostone Lubiprostone 40 1,445 $7,283.56 β€”
Creon Lipase/Protease/Amylase 39 1,255 $55,560.41 11
Peg-3350 And Electrolytes Peg3350/Sod Sulf,bicarb,cl/Kcl 20 27 $399.24 19
Mesalamine Mesalamine 18 960 $6,013.02 β€”
Clarithromycin Clarithromycin 17 238 $378.06 17
Xifaxan Rifaximin 16 272 $39,864.20 β€”
Amoxicillin Amoxicillin 15 210 $48.42 15
Esomeprazole Magnesium Esomeprazole Magnesium 15 697 $434.59 β€”
Sod Sulf-Potass Sulf-Mag Sulf Sodium, Potassium,mag Sulfates 14 48 $825.23 14
Hydrocortisone Hydrocortisone 11 250 $180.39 β€”
Ondansetron Odt Ondansetron 11 144 $130.83 β€”
Lactulose Lactulose 11 15 $18.82 β€”
Enulose Lactulose 11 117 $73.47 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CA PA59863

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250925003294

Enrollment State Jurisdiction

CA

PECOS Control ID

8325543770

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

United Medical Doctors

400 Newport Ctr Dr, Newport Beach, CA 926607695

Phone: 9497600398

Secondary Practice Locations

5555 Inglewood Blvd

Culver City, CA 902306226

Phone: 4245321552

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Ailyn Baldorado

Nurse Practitioner - Family

NPI 1528666013
Dr. Daniel Eshaghian , DO

Internal Medicine - Gastroenterology

NPI 1275943128

Doctor of Osteopathic Medicine (D.O.)

Dr. Suhail Salem , MD

Internal Medicine - Gastroenterology

NPI 1750547030

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address August 28, 2025

Registered at 18350 ROSCOE BLVD # 702, NORTHRIDGE, CA 913254109 (Tel: 8182805961)

🏒
Secondary Practice Location Registered August 28, 2025

Additional practice office at 5555 Inglewood Blvd, Culver City, CA 902306226

βœ…
NPI Profile Active July 30, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 30, 2021

Registered at 18350 ROSCOE BLVD # 702, NORTHRIDGE, CA 913254109 (Tel: 8182805961)

πŸ“
Business Mailing Address (Initial Record) July 30, 2021

Registered at 793 ELM ST APT 7, SAN CARLOS, CA 940703076 (Tel: 6508629145)

πŸ‘€
Provider Name / Credentials (Initial Record) July 30, 2021

Recorded as DAVID WALLACE, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2021

Physician Assistant (license number reported to NPPES: CA PA59863)

🟒
Initial NPI Registration & Enumeration July 30, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730852179
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2021
Last Update: August 28, 2025
Sole Proprietor: No

Other Physician Assistants in Northridge

All Physician Assistants in Northridge

Mailing Address

18350 Roscoe Blvd # 702

Northridge, CA 913254109

Phone: 8182805961

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.