Wallace Home Medical Supplies
Durable Medical Equipment & Medical Supplies
12310 Los Osos Valley Rd, San Luis Obispo
California, 93405-7220
805-439-4007 Wallace Home Medical Supplies is an authorized DME supplier for medicare equipment and products.Wallace Home Medical Supplies is a Durable Medical Equipment & Medical Supplies in San Luis Obispo, California. This organization is also known as sub part of Wallace Home Medical Supplies. It is located at 12310 Los Osos Valley Rd, San Luis Obispo and it's customer support contact number is 805-439-4007. The authorized person of Wallace Home Medical Supplies is Matthew Trago Wallace who is President of this DME and his contact number is 805-238-3935. Wallace Home Medical Supplies accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
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: | 12310 Los Osos Valley Rd, San Luis Obispo, California, 93405-7220 |
| Phone: | 805-439-4007 |
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: | President |
| 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: | 1902200918 |
| Parent Organization: | Wallace Home Medical Supplies |
| NPI Enumeration Date: | 20 Oct, 2014 |
| NPI Last Update On: | 06 Aug, 2015 |
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 | | | Primary | |
Medicare Enrollment:
Wallace Home Medical Supplies is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0749486744 | O20150608001703 | Wallace Home Medical Supplies | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Products Available:
Wallace Home Medical Supplies has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Breast Prostheses & Accessories |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Heat & Cold Applications | • Hospital Beds: Electric |
| • Hospital Beds: Manual | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
| • Ostomy Supplies | • Oxygen Equipment & Supplies |
| • Patient Lifts | • Power Operated Vehicles (scooters) |
| • Seat Lift Mechanisms | • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads |
| • Surgical Dressings | • Traction Equipment |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Urological Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | • Wheelchairs & Accessories: Standard Power |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 549 10th St, Paso Robles, California |
| Zip: | 93446-2510 |
| Phone Number: | 805-238-3935 |
Patients can reach Wallace Home Medical Supplies at
12310 Los Osos Valley Rd, San Luis Obispo, California or can
call on customer care at 805-439-4007.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.