Jacob Wallis
- Medical groups
- 2
- State license
- 1
- Year NPI issued
- 2022
- Practice address
- 4333 Torrance Blvd, Torrance, CA 90503
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Medical group
Ageless Men's Health
Atlanta, Georgia
Find Jacob Wallis' professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Jacob Wallis is a physician assistant in Torrance, California
Jacob Wallis practices with Ageless Men's Health, a medical group.
Jacob Wallis' NPI, 1568118172, was assigned on February 23, 2022. Jacob Wallis holds Tennessee license 4879.
- NPI
- 1568118172NPI Registry (opens in a new tab)
- Medicare PAC ID
- 9335524370
- NPI enumeration date
- February 23, 2022
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Doctors and Clinicians National Downloadable File (CMS)
Jacob Wallis' practice address is in Torrance, California
Jacob Wallis' practice address in the NPI Registry is 4333 Torrance Blvd, Torrance, CA 90503, in Los Angeles County.
- NPI Registry address4333 Torrance Blvd, Torrance, CA 90503 · Los Angeles County
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Jacob Wallis is affiliated with 2 medical groups
Jacob Wallis is part of Ageless Men's Health, a medical group in Atlanta, Georgia. The medical group on file is Wellstar Medical Group.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Jacob Wallis' practice
Dmand AI tracks the electronic health record (EHR) system at each site where Jacob Wallis practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Ageless Men's Health | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Ageless Men's Health and 6.2K+ hospitals, with verified contacts in the same login.
Jacob Wallis is one of 11,482 physician assistants in California
Physician assistant is Jacob Wallis' primary specialty in the NPI Registry, under taxonomy code 363A00000X. Jacob Wallis is licensed in Tennessee.
Specialties and state licenses
- Physician assistant, TennesseePrimary
Physician assistants near Jacob Wallis
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Jacob Wallis' patients have a median age of 47
Across all payers, Dmand AI patient panel data puts Jacob Wallis' median patient age at 47, with 100% women.
Jacob Wallis' patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 47
Patient panel by sex, all payers
- Women100%
- Men0%
Source: Dmand AI Patient Panel Data
How Jacob Wallis takes part in Medicare
Jacob Wallis accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Jacob Wallis's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Jacob Wallis
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Jacob Wallis' NPI number?
Jacob Wallis' NPI number is 1568118172. It was assigned on February 23, 2022, and it is active in the NPI Registry.
What does Jacob Wallis specialize in?
Jacob Wallis is a physician assistant in Torrance, California. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Jacob Wallis practice?
Jacob Wallis practices at 4333 Torrance Blvd, Torrance, CA 90503. Jacob Wallis' primary practice is Ageless Men's Health, a medical group.
What is Jacob Wallis' medical license number?
Jacob Wallis holds Tennessee license 4879.
What medical group is Jacob Wallis part of?
Jacob Wallis is part of Ageless Men's Health in Atlanta, Georgia. Jacob Wallis is also linked to Wellstar Medical Group. Dmand AI links Jacob Wallis to 2 medical groups in all.
Does Jacob Wallis accept Medicare?
Yes. CMS lists Jacob Wallis as accepting Medicare assignment.
How long has Jacob Wallis been practicing?
Jacob Wallis' NPI was assigned in 2022.
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