MATTHEW WAGNER (NPI# 1740366350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740366350 |
| Entity Type | Individual |
| Full Name | MATTHEW WAGNER |
| Practice Address |
4600 47th Ave Ste 111 Sacramento CA 95824-3923 |
| Mailing Address |
10741 Fair Oaks Blvd Apt 110 Fair Oaks CA 95628-7903 |
| Practice Telephone | 9163931222 |
| Mailing Telephone | 9169655190 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 174400000X | Specialist | Other Service Providers | ||
| X | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1538534334 | Matthew Wagner | Acupuncturist | 4513 Vernon Blvd, Madison, WI 53705-4993 | 2015-12-04 |
| 1053749168 | Matthew Wagner | Counselor | 545 N Mcdonough St Ste 212, Decatur, GA 30030-3310 | 2013-10-29 |
| 1114198751 | Matthew Robert Wagner | Orthopaedic Surgery | 1500 Route 112 Bldg 2c, Port Jefferson Station, NY 11776-8055 | 2008-03-21 |
| 1700415965 | Matthew Anthony Wagner | Student in an Organized Health Care Education/Training Program | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-04-08 |
| 1376177048 | Matthew Gary Wagner | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-03-02 |
| 1235613738 | Matthew James Wagner | Pharmacist | 17213 Cole Rd, Hagerstown, MD 21740-6981 | 2018-09-20 |
| 1164918199 | Matthew Steven Wagner | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2018-07-02 |
| 1609371244 | Matthew Anthony Wagner | Student in an Organized Health Care Education/Training Program | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2018-03-26 |
| 1669994752 | Matthew Wagner | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2017-07-11 |
| Street Address |
4600 47TH AVE STE 111 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95824-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861596066 | Betsy Cuttle | Social Worker | 4600 47th Ave Ste 111, Sacramento, CA 95824-3923 | 2006-09-11 |
| 1750643516 | Sean Benjamin Mitchell | Registered Nurse | 4600 47th Ave Ste 111, Sacramento, CA 95824-3923 | 2012-06-07 |
| 1720250970 | Beverley Tupou | Counselor | 4600 47th Ave Ste 111, Sacramento, CA 95824-3923 | 2008-03-27 |
| 1154501849 | Merna Farmer | Counselor | 4600 47th Ave Ste 111, Sacramento, CA 95824-3923 | 2007-11-09 |
| 1386833853 | Sara Elizabeth Meadows | Social Worker | 4600 47th Ave Ste 111, Sacramento, CA 95824-3923 | 2007-10-19 |
| 1083809099 | Robert Kenith Redmill | Counselor | 4600 47th Ave Ste 111, Sacramento, CA 95824-3923 | 2007-09-12 |
| 1871783381 | Cindy Tuttle | Counselor | 4600 47th Ave Ste 111, Sacramento, CA 95824-3923 | 2007-07-31 |
| 1285841056 | Andre Flowers | Counselor | 4600 47th Ave Ste 111, Sacramento, CA 95824-3923 | 2007-05-17 |
| 1689894024 | Sandra Jefferson | Counselor | 4600 47th Ave Ste 111, Sacramento, CA 95824-3923 | 2007-04-26 |
| 1427275734 | Delandis Kortez Brooks | Counselor | 4600 47th Ave Ste 111, Sacramento, CA 95824-3923 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841701422 | Nhlanhla Moyo | Registered Nurse | 3301 37th Street, Sacramento, CA 95824 | 2017-10-23 |
| 1275069650 | Tacoquya Brumfield | Behavior Technician | 5100 South West Ave Apt D, Sacramento, CA 95824 | 2017-05-04 |
| 1639485758 | Louis Alexander Rosales | Physician Assistant | 5385 Frnaklin Blvd, Ste K, Sacramento, CA 95824 | 2010-08-26 |
| 1215182878 | Nancie A. Kenton | Psychologist | 5735 47th Ave., Sacramento, CA 95824 | 2008-11-24 |
| 1447400049 | Jasmine Hernandez | Counselor | 4600 46th Ave., Sacramento, CA 95824 | 2008-09-19 |
| 1023152592 | Michelle Monic Villavicencio | Case Manager/Care Coordinator | 4500 47th Avenue, Suite 5, Sacramento, CA 95824 | 2007-02-17 |
| 1457362584 | Myron Robert Powell | Dentist | 4500 47th Ave, Ste 1, Sacramento, CA 95824 | 2006-08-11 |
| 1629481205 | Ignacio Fernandez | Counselor | 4600 47th Ave Ste 102, Sacramento, CA 95824 | 2014-06-11 |
| 1073645859 | Marneshia Leandia Hart | Counselor | 4600 47th Ave, Suite 111, Sacramento, CA 95824 | 2007-03-09 |
| 1689718181 | Beatrice Taylor | Counselor | 4730 47th Ave Ste 300, Sacramento, CA 95824 | 2007-02-16 |
| Find all providers in zip 95824 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558918128 | Claudeen Tracy Brown | Specialist | 7826 Alta Valley Dr, Sacramento, CA 95823-4604 | 2019-08-19 |
| 1154889525 | Kelley Nicole Ashe | Specialist | 1510 16th St Ste 120, Sacramento, CA 95814-6015 | 2019-03-05 |
| 1891266656 | Debra Marie Engelbrite | Specialist | 4100 Lusk Dr, Sacramento, CA 95864-0748 | 2018-12-05 |
| 1932633070 | Paquette Spine Institute, Corp. | Specialist | 3800 J St Ste 210, Sacramento, CA 95816-5551 | 2017-04-15 |
| 1154792216 | Anthony Demario | Specialist | 4860 Y Street Site 1100, Sacramento, CA 95817 | 2015-10-15 |
| 1316338460 | Patricia Rao | Specialist | 5901 Stallon Way, Sacramento, CA 95823-3820 | 2015-02-11 |
| 1598162810 | Debra Garcia | Specialist | 1124 Rio Cidade Way, Sacramento, CA 95831-4487 | 2014-12-02 |
| 1801198809 | Lee Adam Worth | Specialist | 1500 Capitol Ave, Sacramento, CA 95814-5006 | 2010-11-23 |
| 1962724575 | Shannon Richard Reed | Specialist | 719 56th St, Sacramento, CA 95819-3306 | 2010-02-23 |
| 1730413774 | Bob Ghelfi Md PC | Specialist | 2295 Gateway Oaks Dr, Suite 105, Sacramento, CA 95833-3225 | 2009-09-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95824 |
Please comment or provide details below to improve the information on MATTHEW WAGNER.
| 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.