Wallace Home Medical Supplies
Durable Medical Equipment & Medical Supplies
1414 Park St, Paso Robles
California, 93446-2160
805-238-3935 805-238-3974
Wallace Home Medical Supplies is not a DME supplier for medicare equipment and products.Wallace Home Medical Supplies is a Durable Medical Equipment & Medical Supplies in Paso Robles, California. It is located at 1414 Park St, Paso Robles and it's customer support contact number is 805-238-3935. The authorized person of Wallace Home Medical Supplies is Matthew Trago Wallace who is Owner of this DME and his contact number is 805-238-3935. Active license number of Wallace Home Medical Supplies is 103383 for Durable Medical Equipment & Medical Supplies in California.
Wallace Home Medical Supplies is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Wallace Home Medical Supplies type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Wallace Home Medical Supplies |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1414 Park St, Paso Robles, California, 93446-2160 |
| Phone: | 805-238-3935 |
| Fax: | 805-238-3974 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Matthew Trago Wallace |
| Position: | Owner |
| Contact Number: | 805-238-3935 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1215096466 |
| NPI Enumeration Date: | 06 Dec, 2006 |
| NPI Last Update On: | 20 Apr, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wallace Home Medical Supplies are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 103383 | California | Primary | |
| Oxygen Equipment & Supplies | 18268 | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| ZZZ 08974 Z | Other | California | Blue Shield Dme Provider |
| DME03195F | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1414 Park St, Paso Robles, California |
| Zip: | 93446-2160 |
| Phone Number: | 805-238-3935 |
| Fax Number: | 805-238-3974 |
Patients can reach Wallace Home Medical Supplies at
1414 Park St, Paso Robles, California or can
call on customer care at 805-238-3935.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.