Jamie Elise Wallach, MD
NPI 1154465672ActiveIndividual· Pediatrics· Alameda, CA
Pediatrics (MD) in Alameda, California, licensed in CA, with an NPI issued in February 2007. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1154465672 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 16, 2007 |
| Last updated in NPPES | Jul 24, 2023 |
| Certified by provider | Jul 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | G79903 | CA |
| Pediatrics, Obesity Medicine | 2080B0002X | G79903 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (CA) |
|---|
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Pediatric Medicine |
| Telehealth | Offers telehealth |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 19 pediatricians in Alameda · All pediatricians in California