DR. ALESIA JOY WAGNER-LARGENT (NPI# 1205867892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205867892 |
| Entity Type | Individual |
| Full Name | DR. ALESIA JOY WAGNER-LARGENT |
| Other Name | DR. ALESIA J WAGNER |
| Credential | D.O. |
| Practice Address |
1119 E Monte Vista Ave Vacaville CA 95688 |
| Mailing Address |
1310 Club Dr Vallejo CA 94592-1187 |
| Practice Telephone | 7074694640 |
| Mailing Telephone | 7076385290 |
| Mailing Fax Number | 7076385255 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | R3E50 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 5121 | NV | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 20A8597 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 365 Tuolumne St, Vallejo, CA 945905700 | 7077844404 | 7077841494 |
| 169 Shoal Dr W, Vallejo, CA 945916955 | 6613737288 |
| Street Address |
1119 E MONTE VISTA AVE |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194760025 | Gail D Feinberg | Family Medicine | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2006-06-17 |
| 1558804450 | Naysan Malakouti | Student in an Organized Health Care Education/Training Program | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2016-11-23 |
| 1528500584 | Celia Maria Sanchez | Community Health Worker | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2016-11-08 |
| 1124494646 | William Roger Davis | Family Medicine | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2015-08-19 |
| 1932446598 | Hannah Crowl | Nurse Practitioner | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2013-01-15 |
| 1245536945 | Mike Van Huynh | Registered Nurse | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2011-01-28 |
| 1265741003 | Vickie Williams | Marriage & Family Therapist | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2010-09-28 |
| 1033374715 | Conrad Frederic Schoenwald | Family Medicine | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2008-07-22 |
| 1366626376 | Zosima B Inton | Registered Nurse | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2007-12-27 |
| 1114121308 | Joy Elizabeth Muraki Castrejon | Social Worker | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2007-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1043842917 | Dr. Page Hudson Dental Corporation | Dentist | 1671 East Monte Vista Ave, Suite 200, Vacaville, CA 95688 | 2020-02-10 |
| 1356981534 | Demi Renae Holder | Behavior Technician | 6801 Leisure Town Rd Apt. 153, Vacaville, CA 95688 | 2020-01-15 |
| 1073089074 | Sukhdeep Kaur | Nurse Practitioner | 679 E Monte Vista Ave #140, Vacaville, CA 95688 | 2018-10-17 |
| 1114419553 | Sharlie Mccurry | Behavior Technician | 3333 Vaca Valley Pkwy, Suite 900, Vacaville, CA 95688 | 2018-06-01 |
| 1720577307 | Ana Lynch | Behavioral Analyst | 250 Grape St, Vacaville, CA 95688 | 2018-05-09 |
| 1508382011 | Esther's Empowerment Leadership Institute, LLC | Health Educator | 227 Fairoaks Drive, Vacaville, CA 95688 | 2017-08-16 |
| 1023534807 | Jean Allyson Garcia | Counselor | 1286 Callen Street, Vacaville, CA 95688 | 2017-08-14 |
| 1437692043 | Ahmed Abdi Ali | Pharmacist | 1 Quality Drive, Mob-b 1st Flr, 24 Hrs Pharmacy, Vacaville, CA 95688 | 2016-11-30 |
| 1275961807 | Laura Hitt | Dietitian, Registered | 107 Blackwood Ct, Vacaville, CA 95688 | 2013-10-16 |
| Find all providers in zip 95688 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164930640 | Alicia Nicole Gambetti | Family Medicine | 241 Nut Tree Rd., Vacaville, CA 95687 | 2018-01-18 |
| 1497134837 | Lenzy Stephenson | Family Medicine | 1000 Allison Dr Apt 144, Vacaville, CA 95687-4986 | 2015-05-19 |
| 1194017426 | Outpatient Wound Solutions, Inc. | Family Medicine | 607 Elmira Rd, Suite 165, Vacaville, CA 95687-4655 | 2011-05-04 |
| 1730304502 | Kam Chan | Family Medicine | 600 Nut Tree Rd Ste 310, Vacaville, CA 95687-4686 | 2007-04-16 |
| 1194760025 | Gail D Feinberg | Family Medicine | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2006-06-17 |
| 1639127632 | William Thomas O'connor Jr. | Family Medicine | 300 Mason St., Vacaville, CA 95688-4506 | 2006-05-04 |
| 1508823014 | Karl Einar Molin Jr. | Family Medicine | 313 Kendal St, Vacaville, CA 95688-3920 | 2006-04-27 |
| 1831156413 | Karl E Molin Md Inc | Family Medicine | 313 Kendal Street, Vacaville, CA 95688-3920 | 2006-04-27 |
| 1295703189 | Ricardo Edward Denapoli | Family Medicine | 770 Mason St, Vacaville, CA 95688-4646 | 2006-03-08 |
| 1336126374 | Jerry Michael Cline | Family Medicine | 138 S Orchard Ave, Vacaville, CA 95688-3636 | 2005-12-30 |
| Find all providers in VACAVILLE | ||||
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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.