MR. WILLIAM BENJAMIN WAGNER (NPI# 1821317306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821317306 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM BENJAMIN WAGNER |
| Other Name | MR. BEN WAGNER |
| Practice Address |
535 Marina Blvd Pittsburg CA 94565-2102 |
| Practice Telephone | 9254397111 |
| Practice Fax Number | 9254397127 |
| Mailing Telephone | 9254397111 |
| Mailing Fax Number | 9254397127 |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2011-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043594963 | William Douglas Wagner | Counselor | 2139 Palm Ct, North Port, FL 34287-5724 | 2011-10-11 |
| 1497967947 | William A Wagner | General Practice | 2317 Elmwood Dr Se, Grand Rapids, MI 49506-4055 | 2007-05-05 |
| 1396882130 | William L Wagner | Chiropractor | 303 W Birnie St, Gaffney, SC 29341-2307 | 2007-01-31 |
| 1760535587 | William Scott Wagner | Dentist | 1400 Marsh Landing Pkwy, Suite 104, Jacksonville Beach, FL 32250-2493 | 2007-01-18 |
| 1477603702 | William Claude Wagner | Dentist | 211 N Prairie St, Bloomington, IL 61701 | 2007-01-11 |
| 1255419511 | William Wagner | Family Medicine | 6214 Johnson St, Hollywood, FL 33024-5932 | 2006-11-02 |
| 1558384875 | William Wagner | Nurse Anesthetist, Certified Registered | 1710 Cheyenne Dr, Hillsborough, NC 27278-9500 | 2006-07-26 |
| 1871528455 | William Frederick Wagner | Anesthesiology | 1506 N Fant St, Anderson, SC 29621-4708 | 2006-07-11 |
| 1639130446 | William John Wagner | Family Medicine | 531 Broad St, Montoursville, PA 17754-2338 | 2006-03-31 |
| 1063473692 | William G Wagner | Radiology | 1601 N Taylor Dr, Sheboygan, WI 53081-1930 | 2006-03-31 |
| Street Address |
535 MARINA BLVD |
| City | PITTSBURG |
| State | CA |
| Zip Code | 94565-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750509386 | Neil Miller | Counselor | 535 Marina Blvd, Pittsburg, CA 94565-2102 | 2007-04-20 |
| 1104129907 | Esperanza Cruz | Behavioral Analyst | 535 Marina Blvd, Pittsburg, CA 94565-2102 | 2010-12-16 |
| 1083876494 | Vonda Rae Beecher | Counselor | 535 Marina Blvd, Pittsburg, CA 94565-2102 | 2008-06-26 |
| 1649476797 | Javier Manuel Reynoso | Counselor | 535 Marina Blvd, Pittsburg, CA 94565-2102 | 2007-06-25 |
| 1336342989 | Sonya N Blunt | Counselor | 535 Marina Blvd, Pittsburg, CA 94565-2102 | 2007-06-08 |
| 1811101595 | New Connections | Community/Behavioral Health | 535 Marina Blvd, Pittsburg, CA 94565-2102 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164068011 | Gina Marie Whittenburg | Counselor | 161 Sequoia Drive, Pittsburg, CA 94565 | 2019-11-25 |
| 1386287902 | Diamond Redus | Behavior Technician | 2328 Loveridge Rd Apt 209, Pittsburg, CA 94565 | 2019-10-27 |
| 1851952469 | Renee Slocum | Behavior Technician | 7567 Amador, Dublin, CA 94565 | 2019-06-25 |
| 1881258606 | Mabel Paz Zavala | Student in an Organized Health Care Education/Training Program | 3750 Roundhill Dr, Pittsburg, CA 94565 | 2019-04-26 |
| 1457810939 | Richard L Anilao | Nurse's Aide | 142 San Tomas Dr, Pittsburg, CA 94565 | 2019-03-14 |
| 1568931079 | Nashira Hudson | Behavioral Analyst | 3401 Delta Fair Blvd., Antioch, CA 94565 | 2018-11-14 |
| 1497230726 | Rosa Maria Gonzalez | Behavioral Analyst | 198 Alberts Ave, Bay Point, CA 94565 | 2018-10-02 |
| 1831670090 | Rael Bernstein Dds Apc | Dentist | 1600 N Park Blvd, Pittsburg, CA 94565 | 2018-08-27 |
| 1285120592 | Vanessa Fregoso | Behavioral Analyst | 2275 Southwood Dr., Pittsburg, CA 94565 | 2018-07-10 |
| 1457847014 | Monica Monarque | Behavioral Analyst | 2113 Cerrito Ct, Pittsburg, CA 94565 | 2018-07-06 |
| Find all providers in zip 94565 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164068011 | Gina Marie Whittenburg | Counselor | 161 Sequoia Drive, Pittsburg, CA 94565 | 2019-11-25 |
| 1790340636 | Todd Walter Schmidt | Counselor | 834 E 12th St, Pittsburg, CA 94565-2711 | 2019-05-06 |
| 1750810933 | Noble Clinic, LLC | Counselor | 1205 Mill Rd, Pittsburg, KS 66762-7318 | 2017-06-09 |
| 1053765115 | Laura Bridge | Counselor | 2127 Lakeview Cir, Pittsburg, CA 94565 | 2016-04-14 |
| 1346620788 | Rajwant Lally | Counselor | 2211 Santa Maria Dr, Pittsburg, CA 94565-4353 | 2015-06-01 |
| 1669893053 | Nancy Mattingly | Counselor | 180 E Leland Rd Ste A&b, Pittsburg, CA 94565-4949 | 2014-01-02 |
| 1891127247 | Ujima Family Recovery Services | Counselor | 369 E Leland Rd, Pittsburg, CA 94565-4911 | 2013-08-07 |
| 1245573823 | Melanie A Byers | Counselor | 1251 California Ave, Ste 600, Pittsburg, CA 94565-4181 | 2013-04-01 |
| 1962787267 | Cheryl Marie Jordan | Counselor | 10 Buena Vis, Pittsburg, CA 94565-5705 | 2011-10-18 |
| 1538479399 | New Connections | Counselor | 535 Harbor, Pittsburg, CA 94565 | 2010-10-14 |
| Find all providers in PITTSBURG | ||||
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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.