PAUL D WAGNER


Address: 4060 4th Ave, Suite 100, San Diego, CA 92103-2116
Phone: 6197189444

PAUL D WAGNER (NPI# 1023093663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023093663
Entity Type Individual
Full Name PAUL D WAGNER
Credential M.D., F.A.C.P.
Practice Address 4060 4th Ave
Suite 100
San Diego
CA 92103-2116
Practice Telephone 6197189444
Enumeration Date 2005-12-07
Last Update Date 2011-06-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine G77188 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G771881 05

Other Providers PAUL WAGNER

NPI Name Taxonomy Address Enumeration
1609932888 Paul Wagner Optometrist 2955 W. Elliot Rd., Suite 1, Chandler, AZ 85224 2006-12-29
1518063916 Paul Brooks Wagner Spec/Tech, Cardiovascular 1836 Harbor Cv, Modesto, CA 95355-1856 2006-09-15
1518069491 Paul Francis Wagner Ophthalmology 308 Mchenry St, Burlington, WI 53105 2006-09-02
1942766787 Paul Wagner Counselor 26 Mount Zion Rd, York, PA 17402-2601 2019-02-18
1962434043 Paul A Wagner Family Medicine 611 East Main St, Hart, MI 49420-1190 2006-07-07
1518901990 Paul D Wagner Internal Medicine 3200 Maccorkle Avenue Se, Hospitalists Program, Charleston, WV 25304 2006-06-15

Office Location

Street Address 4060 4TH AVE
SUITE 100
City SAN DIEGO
State CA
Zip Code 92103-2116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174525299 John Paul Molenaar Audiologist 4060 4th Ave, Ste 410a, San Diego, CA 92103-2121 2005-06-01
1598391740 Sheena Lee Hays Registered Nurse 4060 4th Ave, San Diego, CA 92103-2116 2020-03-19
1336645324 Kiyon Chung Md, Apc Internal Medicine 4060 4th Ave, Suite 650, San Diego, CA 92103-2121 2018-03-30
1003260894 Erin Dwyer Nurse Practitioner 4060 4th Ave, Suite 310, San Diego, CA 92103-2116 2016-04-18
1336515642 Leslie Monagle Physical Therapist 4060 4th Ave, Suite 206, San Diego, CA 92103-2116 2015-08-20
1598008583 Stewart L. Frank Md, Inc. Non-Pharmacy Dispensing Site 4060 4th Ave, Suite 605, San Diego, CA 92103-2116 2013-03-28
1912269945 Kennie Kwok Dentist 4060 4th Ave, Suite 303, San Diego, CA 92103-2116 2012-06-14
1124391974 Central San Diego Surgery Center Inc. Clinic/Center 4060 4th Ave, Suite #120, San Diego, CA 92103-2116 2012-02-09
1366734220 Joey Allen Clayton Physician Assistant 4060 4th Ave, Suite 700, San Diego, CA 92103-2116 2011-05-11
1578869772 Jason R Hess Plastic Surgery Inc Surgery 4060 4th Ave, Suite 120, San Diego, CA 92103-2116 2011-02-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
Find all providers in zip 92103

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184233645 Svr Medical PC Internal Medicine 4440 Euclid Ave Ste E, San Diego, CA 92115-4522 2020-07-30
1023639176 Arthur Wong Internal Medicine 4222 Kansas St Unit 2, San Diego, CA 92104-1802 2020-04-29
1679102461 Santosh Vetticaden Internal Medicine 6420 Mesa Norte Dr, San Diego, CA 92130-6852 2020-04-03
1225664964 Andres Smith M.d. A Professional Medical Corporation Internal Medicine 6244 El Cajon Blvd Ste 29, San Diego, CA 92115-3918 2020-03-13
1154972388 Kimberly Hall Fernandez Internal Medicine 700 W E St Unit 2101, San Diego, CA 92101-5993 2019-09-29
1992289300 Sd Healthcare Solutions Internal Medicine 5943 Thorn St, San Diego, CA 92105-3916 2018-09-21
1992295331 Alera Inc Internal Medicine 2667 Camino Del Rio S Ste 307-6, San Diego, CA 92108 2018-05-11
1275020844 Lf Capital Inc Internal Medicine 438 Camino Del Rio S Ste 203, San Diego, CA 92108-3546 2018-04-18
1710401302 Ca Post Acute Specialists PC Internal Medicine 3525 Del Mar Heights Rd # 966, San Diego, CA 92130-2199 2017-07-26
1063933604 John Jackson Howard Internal Medicine 4616 Patricia Pl, San Diego, CA 92115-1934 2017-07-05
Find all providers in SAN DIEGO

Competitor

Search similar providers

City SAN DIEGO
Zip Code 92103

Improve Information

Please comment or provide details below to improve the information on PAUL D WAGNER.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches