LISA A. WAGNER CHIROPRACTIC, INC (NPI# 1750689196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750689196 |
| Entity Type | Organization |
| Organization Name | LISA A. WAGNER CHIROPRACTIC, INC |
| Practice Address |
625 E Arrow Hwy Suite 2 Glendora CA 91740-6521 |
| Practice Telephone | 6268522822 |
| Practice Fax Number | 6268522824 |
| Mailing Telephone | 6268522822 |
| Mailing Fax Number | 6268522824 |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |
| Authorized Official Name | DR. LISA ANN WAGNER (SOLE OWNER) |
| Authorized Official Telephone | 6268522822 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | DC23398 | CA | Ambulatory Health Care Facilities |
| Street Address |
625 E ARROW HWY SUITE 2 |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740-6521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134239205 | Mark Jay Hyer | Dentist | 625 E Arrow Hwy, Ste 4, Glendora, CA 91740-6521 | 2006-08-30 |
| 1124278940 | Joints Chiropractic LLC | Clinic/Center | 625 E Arrow Hwy, 1, Glendora, CA 91740-6521 | 2008-09-29 |
| 1740366202 | Jeffrey C Murphy | Dentist | 625 E Arrow Hwy, Suite 5, Glendora, CA 91740 | 2006-10-27 |
| 1942398706 | Lisa Ann Wagner | Chiropractor | 625 E Arrow Hwy, Suite 2, Glendora, CA 91740-6521 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
| 1629535380 | Sudario Home Health Care, Inc. | Home Health | 620 W Riute 66 Suite 220a, Glendora, CA 91740 | 2019-02-28 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
| Find all providers in zip 91740 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1932722246 | Studio 36 Acupuncture | Clinic/Center | 620 S Glendora Ave Ste A, Glendora, CA 91740-6815 | 2020-05-20 |
| 1871144816 | Djpnicolas, LLC | Clinic/Center | 144 N. Grand Avenue, Glendora, CA 91741 | 2019-09-20 |
| 1316308380 | Citrus Community College | Clinic/Center | 1000 W Foothill Blvd, Glendora, CA 91741-1885 | 2016-03-17 |
| 1285895896 | Mohan Dialysis Centers Inc | Clinic/Center | 638 S Glendora Ave, Glendora, CA 91740-4483 | 2008-06-17 |
| 1649434697 | Lavelle Youth Homes | Clinic/Center | 1025 W Arrow Hwy, Glendora, CA 91740-5450 | 2008-07-17 |
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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.