DR. CARL WAGREICH (NPI# 1043213242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043213242 |
| Entity Type | Individual |
| Full Name | DR. CARL WAGREICH |
| Credential | D.P.M. |
| Practice Address |
23451 Madison St Ste 230 Torrance CA 90505-4761 |
| Practice Telephone | 3103730521 |
| Practice Fax Number | 3107911691 |
| Mailing Telephone | 3103730521 |
| Mailing Fax Number | 3107911691 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2009-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | E2415 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
E2415 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
E2415 | CA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E2415 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E24150 | 05 |
| Street Address |
23451 MADISON ST STE 230 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-4761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174981195 | Jason Phan Dds Inc. | Dentist | 23451 Madison St, Ste 210, Torrance, CA 90505-4763 | 2016-02-04 |
| 1992199277 | Rose Vargas | Nurse Practitioner | 23451 Madison St, Suite 340, Torrance, CA 90505-4763 | 2015-03-24 |
| 1538552252 | Peter Sinclair | Dentist | 23451 Madison St, Suite 130, Torrance, CA 90505-4763 | 2015-03-05 |
| 1245629666 | Peter M Sinclair, Dds A Professional Dental Corpor | Dentist | 23451 Madison St, Suite 130, Torrance, CA 90505-4763 | 2015-01-22 |
| 1972939007 | Lorraine Rojas | Physician Assistant | 23451 Madison St, Ste 340, Torrance, CA 90505-4762 | 2013-09-20 |
| 1477849982 | Eliza Lim Cambay | Nurse Practitioner | 23451 Madison St, Suite 290, Torrance, CA 90505-4763 | 2011-06-22 |
| 1013246909 | Bliss Medical Group, P.C. | Family Medicine | 23451 Madison St, Suite 250, Torrance, CA 90505-4763 | 2009-12-23 |
| 1619109303 | Jason Thai Phan | Dentist | 23451 Madison St, Ste 210, Torrance, CA 90505-4763 | 2009-08-14 |
| 1063659829 | Janelle Robles Macasieb | Physician Assistant | 23451 Madison St, Suite 290, Torrance, CA 90505-4763 | 2009-01-15 |
| 1326206848 | Son X Nguyen | Surgery | 23451 Madison St, Suite 340, Torrance, CA 90505-4763 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339759 | Jeffrey Demian Inc | Podiatrist | 3820 Del Amo Blvd Ste 215, Torrance, CA 90503-2148 | 2018-06-11 |
| 1922477280 | Jeffrey Demian | Podiatrist | 22633 Anza Ave, Torrance, CA 90505-3418 | 2015-09-16 |
| 1174938229 | Pooya Lashkari | Podiatrist | 3655 Lomita Blvd Ste 120, Torrance, CA 90505-1907 | 2014-06-27 |
| 1164852018 | Assurant Foot and Ankle Care, Surgery & Aesthetics | Podiatrist | 23365 Hawthorne Blvd, Suite 101, Torrance, CA 90505-3720 | 2013-11-13 |
| 1588976880 | Jeffrey Tseng | Podiatrist | 2780 Skypark Dr Ste 100, Torrance, CA 90505-5394 | 2010-07-02 |
| 1114147444 | Jonathan A Thompson | Podiatrist | 3701 Skypark Dr Ste 240, Torrance, CA 90505-4775 | 2007-04-27 |
| 1093824633 | Helen Kuo Dpm Inc | Podiatrist | 25316 Crenshaw Blvd, Torrance, CA 90505-6121 | 2006-08-29 |
| 1295380640 | Nina Argade Dpm Inc. | Podiatrist | 3655 Lomita Blvd Ste 120, Torrance, CA 90505-1907 | 2019-08-02 |
| 1790240653 | Eric M Feit Dpm Inc | Podiatrist | 3655 Lomita Blvd Ste 120, Torrance, CA 90505-1907 | 2019-02-05 |
| 1649786617 | Pooya Lashkari, Dpm, Inc. | Podiatrist | 3655 Lomita Blvd Ste 120, Torrance, CA 90505-1907 | 2017-12-28 |
| Find all providers in TORRANCE | ||||
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| 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.