CHASE WAGNER (NPI# 1528510930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528510930 |
| Entity Type | Individual |
| Full Name | CHASE WAGNER |
| Credential | NP-C |
| Practice Address |
1955 Citracado Pkwy Suite 300 Escondido CA 92029-4110 |
| Mailing Address |
15611 Pomerado Rd Fifth Floor Poway CA 92064-2437 |
| Practice Telephone | 7607430546 |
| Practice Fax Number | 7607438005 |
| Mailing Telephone | 8586732574 |
| Mailing Fax Number | 8586181523 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95004029 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062859 | Chase Wagner | Case Manager/Care Coordinator | 800 Gallia St Ste 600, Portsmouth, OH 45662-4097 | 2020-10-27 |
| Street Address |
1955 CITRACADO PKWY SUITE 300 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92029-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071469 | Bradley Howard Chesler | Physical Medicine & Rehabilitation | 1955 Citracado Pkwy, Suite 203, Escondido, CA 92029-4110 | 2005-05-24 |
| 1881018067 | Kimberly Marie Barmack | Nurse Practitioner | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2014-02-10 |
| 1730432469 | Lc San Diego LLC | Pharmacy | 1955 Citracado Pkwy, Ste 101, Escondido, CA 92029-4110 | 2012-10-18 |
| 1679825764 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 1955 Citracado Pkwy, Suite 100, Escondido, CA 92029-4110 | 2012-10-12 |
| 1518217330 | Arch Health Partners | Internal Medicine | 1955 Citracado Pkwy, Ste 300, Escondido, CA 92029-4110 | 2012-09-19 |
| 1215201108 | Maryam Balouch | Internal Medicine | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2012-02-24 |
| 1487892352 | Arush Arvin Patel | Orthopaedic Surgery | 1955 Citracado Pkwy, # 200, Escondido, CA 92029-4110 | 2009-01-29 |
| 1619174133 | Navinder Singh Sawhney | Internal Medicine | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2007-06-28 |
| 1114044633 | Robert Duane Frost | Physician Assistant | 1955 Citracado Pkwy, Suite 200, Escondido, CA 92029-4110 | 2007-03-22 |
| 1063579423 | Hidden Valley Surgical Med. Group, Inc. | Surgery | 1955 Citracado Pkwy, Suite 200, Escondido, CA 92029-4110 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839254 | Tina Lynn Sutherland | Behavioral Analyst | 1045 East Pennsylvania Ave, Escondido, CA 92029 | 2016-01-27 |
| 1477923373 | Aurora D'elia-verrocchi | Physician Assistant | 2185 Citracado Parkway, Escandido, CA 92029 | 2015-10-05 |
| 1659647436 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 | 2012-03-27 |
| 1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
| 1003137258 | James H Nelson | Radiology | 3337 Avenida Hacienda, Escondido, CA 92029 | 2010-06-22 |
| 1265568620 | Junia P Wadia | Dentist | 1340 W Valley Pkwy, #205, Escondido, CA 92029 | 2007-02-27 |
| 1225186232 | Paul Brian Volpp | Radiology | 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 | 2007-01-08 |
| 1679620231 | Alan David Will | Optometrist | 1264-a Auto Pkwy, Escondido, CA 92029 | 2007-01-05 |
| 1891842530 | Ngoc Mong Hoang Nguyen | Optometrist | 1264 Auto Pkwy, Ste A, Escondido, CA 92029 | 2007-01-04 |
| 1073608089 | Margaret Mauleon Novicio | Dentist | 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 | 2006-10-04 |
| Find all providers in zip 92029 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962033134 | Rakhi Sharma | Nurse Practitioner | 500 La Terraza Blvd Ste 13092025, Escondido, CA 92025-3875 | 2020-01-28 |
| 1649291758 | Linda Laverdiere | Nurse Practitioner | 401 E Valley Pkwy, Escondido, CA 92025-3316 | 2006-07-22 |
| 1538143789 | Cristina Lilia Shoukry | Nurse Practitioner | 1001 E Grand Ave, Escondido, CA 92025-4604 | 2005-12-01 |
| 1689663767 | Allison Smalley Mondragon | Nurse Practitioner | 9914 W Lilac Rd, Escondido, CA 92026-5301 | 2005-10-20 |
| 1992207062 | Mohamad Esmail Ahmadi | Nurse Practitioner | 1955 Citracado Pkwy Ste 300, Escondido, CA 92029-4113 | 2018-03-05 |
| 1245771120 | Francesca Ann Frederiksen | Nurse Practitioner | 500 La Terraza Blvd, Escondido, CA 92025-3875 | 2017-03-13 |
| 1407253750 | Sainab Warsame | Nurse Practitioner | 488 E Valley Pkwy Ste 411, Escondido, CA 92025-3380 | 2014-12-02 |
| 1386048544 | Joann Adams | Nurse Practitioner | 500 La Terraza Blvd, Escondido, CA 92025-3875 | 2014-10-17 |
| 1346684859 | Elena Eckard | Nurse Practitioner | 625 W Citracado Pkwy Suite 108, Escondido, CA 92025 | 2013-04-26 |
| 1477850097 | Kimberly Ann Piper | Nurse Practitioner | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2011-02-16 |
| Find all providers in ESCONDIDO | ||||
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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.