DR. E A WAGNER (NPI# 1770623019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770623019 |
| Entity Type | Individual |
| Full Name | DR. E A WAGNER |
| Other Name | DR. ERNEST A WAGNER JR. |
| Credential | M.D. |
| Practice Address |
1400 N Harbor Blvd Suite 440 Fullerton CA 92835 |
| Practice Telephone | 7147731502 |
| Practice Fax Number | 7149962631 |
| Mailing Telephone | 7147731502 |
| Mailing Fax Number | 7149962631 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2015-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A20837 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1400 N HARBOR BLVD SUITE 440 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1457544207 | Marc A Charles Md Inc | Psychiatry & Neurology | 1501 N Harbor Blvd Ste 203, Fullerton, CA 92835-3803 | 2007-08-24 |
| 1740489764 | Parool B Patel | Psychiatry & Neurology | 140 E Commonwealth Ave Ste 101, Fullerton, CA 92832-1905 | 2007-07-11 |
| 1316032386 | Marc A Charles | Psychiatry & Neurology | 1501 North Harbor Blvd, 203, Fullerton, CA 92835-3811 | 2006-10-04 |
| 1467551200 | Sunnyhills Behavioral Health Inc. | Psychiatry & Neurology | 140 E. Commonwealth Ave., Suite 101, Fullerton, CA 92832-3616 | 2006-09-21 |
| 1316049307 | Oscar Miclat Balilo | Psychiatry & Neurology | 211 W Commonwealth Ave, Fullerton, CA 92832-1810 | 2006-09-01 |
| 1780647347 | Paul S Chung | Psychiatry & Neurology | 1619 E Chapman Ave, Fullerton, CA 92831-4015 | 2006-04-06 |
| 1114335239 | Hina Sidhu, M.d., Inc. | Psychiatry & Neurology | 1400 N Harbor Blvd, Suite 603, Fullerton, CA 92835-4126 | 2014-08-01 |
| 1942414792 | Joe F. Chiu, Md, A Professional Corp | Psychiatry & Neurology | 680 Langsdorf Dr Ste 219, Fullerton, CA 92831-3702 | 2007-05-10 |
| 1962625384 | Sandhya R Gudapati | Psychiatry & Neurology | 140 E. Commonwealth Ave., Suite 101, Fullerton, CA 92832-3616 | 2007-04-11 |
| Find all providers in FULLERTON | ||||
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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.