MARK S WAGNER MD, A MEDICAL CORPORATION (NPI# 1902260714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902260714 |
| Entity Type | Organization |
| Organization Name | MARK S WAGNER MD, A MEDICAL CORPORATION |
| Other Organization Name | OC COMPREHENSIVE CARE |
| Practice Address |
515 Cabrillo Park Dr Suite 120 Santa Ana CA 92701-5016 |
| Mailing Address |
261 W Howard St Pasadena CA 91103-1529 |
| Practice Telephone | 7145588038 |
| Mailing Telephone | 3102183892 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2018-01-17 |
| Authorized Official Name | DR. MARK S WAGNER (CEO / PRESIDENT) |
| Authorized Official Telephone | 7145588038 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 95003992 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OC Comprehensive Care | Doing Business As Name - Organization |
| Street Address |
515 CABRILLO PARK DR SUITE 120 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700821709 | Mark S Wagner | Psychiatry & Neurology | 515 Cabrillo Park Dr, Suite 120, Santa Ana, CA 92701-5016 | 2006-06-17 |
| 1699306415 | Nancy Herrera | Case Manager/Care Coordinator | 515 Cabrillo Park Dr, Santa Ana, CA 92701-5016 | 2020-01-30 |
| 1447637715 | Vascular Access Expert | Clinic/Center | 515 Cabrillo Park Dr, Suite 120, Santa Ana, CA 92701-5016 | 2015-05-06 |
| 1457675662 | Pt Plus Rehab, Inc | Clinic/Center | 515 Cabrillo Park Dr, Suite 100, Santa Ana, CA 92701-5016 | 2010-03-16 |
| 1760584718 | Bruce Lewinter | Chiropractor | 515 Cabrillo Park Dr, Ste 100, Santa Ana, CA 92701-5016 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699243022 | Alizah Mae Mateo | Clinic/Center | 19192 Fairhaven Ext, Santa Ana, CA 92705-1362 | 2018-11-03 |
| 1497114300 | Share Our Selves Corporation | Clinic/Center | 1901 N Fairview St, Building C, Santa Ana, CA 92706-2205 | 2016-02-19 |
| 1780053504 | Ochca | Clinic/Center | 1725 W 17th St Rm 101-e, Santa Ana, CA 92706-2316 | 2015-09-22 |
| 1386972537 | Abha Gupta M D A Professional Corporation | Clinic/Center | 801 N Tustin Ave Ste 201, Santa Ana, CA 92705-3600 | 2009-11-30 |
| 1619153111 | Santa Ana Prohealth Medical Clinic Inc | Clinic/Center | 999 N Tustin Ave Ste 22, Santa Ana, CA 92705-6504 | 2008-01-14 |
| 1841347044 | Ron Y. Goldstein, Inc. | Clinic/Center | 3000 W Macarthur Blvd Ste 600, Santa Ana, CA 92704-6982 | 2007-01-03 |
| 1063481562 | Planned Parenthood of Orange and San Bernardino Counties | Clinic/Center | 1421 E 17th St, Santa Ana, CA 92705-8505 | 2006-03-16 |
| 1003452830 | Chirohealthcare | Clinic/Center | 3701 W Mcfadden Ave Ste E, Santa Ana, CA 92704-1385 | 2019-11-27 |
| 1689148181 | Julian Alfaro Md Inc | Clinic/Center | 2337 W 1st St, Santa Ana, CA 92703-3503 | 2019-01-17 |
| 1528538345 | Albert Chung, Md., Mba, Inc. | Clinic/Center | 801 N Tustin Ave Ste 306, Santa Ana, CA 92705-3601 | 2018-12-05 |
| Find all providers in SANTA ANA | ||||
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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.