Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wallace Blake McKinney, MD

Individual provider Emergency Medicine Physician · NPI 1174790224

Wallace Blake McKinney, MD practises Emergency Medicine in Sacramento, California. Qualified in 2007, 19 years ago. Practices with Vituity-California Observation Services PC, a 84-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4150 V St Pssb 2100
Sacramento, CA 95817-1460 Not confirmed with CMS for 18 years — call before visiting
Phone: (916) 734-8571
Fax: (916) 734-7950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A105593 (CA)

Record details

NPI number1174790224
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 8, 2008
Last updated in NPPESSeptember 24, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Vituity-California Observation Services Pc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients715
Services billed 1,138 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Jerold Phelps Community Hospital Hospital · Garberville, CA · listed as Southern Humboldt Community Healthcare District
  • Sutter Roseville Medical Center Hospital · Roseville, CA

Colleagues at Vituity-California Observation Services PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 84 clinicians in the practice; 12 are shown here.

Other providers in Sacramento