MR. DAVID WILLIAM WAGNER (NPI# 1043666308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043666308 |
| Entity Type | Individual |
| Full Name | MR. DAVID WILLIAM WAGNER |
| Credential | R.N. |
| Practice Address |
3853 Rosecrans Street San Diego County Psychiatric Hospital San Diego CA 92110-3115 |
| Mailing Address |
3853 Rosecrans St San Diego CA 92110-3115 |
| Practice Telephone | 6196928232 |
| Practice Fax Number | 6195424060 |
| Mailing Telephone | 6196928232 |
| Mailing Fax Number | 6195424060 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
341481 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538236757 | David Michael Wagner | Counselor | 8335 40th Ave N, St Petersburg, FL 33709-3934 | 2006-11-30 |
| 1912079823 | David A Wagner Sr. | Dentist | 43 East Mills Street, Columbus, NC 28722 | 2006-11-15 |
| 1205917523 | David Wagner | Dentist | 1919 N Pearl St Ste A3, Tacoma, WA 98406-2456 | 2006-10-17 |
| 1255444345 | David Robert Wagner | Chiropractor | 3107 W Slaughter Ln, Austin, TX 78748-5574 | 2006-08-16 |
| 1265448328 | David C Wagner | Physical Therapist | 3105 Main St, Marlette, MI 48453-1508 | 2006-07-31 |
| 1821012105 | David Wagner | Internal Medicine | 135 East 37th St, New York, NY 10016 | 2006-07-27 |
| 1295754778 | David A Wagner | Optometrist | 3285 State Route 257, Seneca, PA 16346-2529 | 2006-07-18 |
| 1508847997 | David Scott Wagner | Chiropractor | 31285 Temecula Pkwy Ste 260, Temecula, CA 92592-6830 | 2005-11-11 |
| 1821085168 | David Edwin Wagner | Dentist | 5992 Howdershell Rd, Ste 206, Hazelwood, MO 63042-4107 | 2005-10-03 |
| 1326046897 | David Gordon Wagner | Specialist | 14955 Shady Grove Rd, Suite 125, Rockville, MD 20850-8700 | 2005-07-08 |
| Street Address |
3853 ROSECRANS STREET SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609968742 | Parviz K. Yeroushalmi | Psychiatry & Neurology | 3853 Rosecrans Street, San Diego County Psychiatric Hospital, San Diego, CA 92110 | 2006-09-28 |
| 1588103071 | Jessica Kosloski | Registered Nurse | 3853 Rosecrans Street, San Diego, CA 92110 | 2017-02-16 |
| 1114323755 | Olajumoke Adeyemi | Registered Nurse | 3853 Rosecrans Street, San Diego, CA 92110 | 2014-11-10 |
| 1548683378 | Crystal Ross | Registered Nurse | 3853 Rosecrans Street, San Diego, CA 92110 | 2014-01-30 |
| 1770833253 | Mark Ianzel Flores | Licensed Vocational Nurse | 3853 Rosecrans Street, San Diego, CA 92110 | 2012-09-12 |
| 1164770889 | Adrian S Domingo | Licensed Vocational Nurse | 3853 Rosecrans Street, San Diego, CA 92110-3886 | 2012-08-28 |
| 1679828586 | Caroline B Dela Cruz | Registered Nurse | 3853 Rosecrans Street, San Diego, CA 92110 | 2012-07-17 |
| 1538464441 | Floramie Cimafranca Napitan | Registered Nurse | 3853 Rosecrans Street, San Diego, CA 92110-3115 | 2011-01-24 |
| 1457589004 | Cyress Alexander | Registered Nurse | 3853 Rosecrans Street, San Diego, CA 92110 | 2009-06-22 |
| 1255592747 | Ronaele C Blanks | Licensed Vocational Nurse | 3853 Rosecrans Street, San Diego, CA 92110 | 2008-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689204265 | Juvelyn Isip Ingal | Registered Nurse | 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 | 2020-01-22 |
| 1043859531 | Klair Grace | Registered Nurse | 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 | 2019-12-31 |
| 1225509656 | Erwin Orio Fong | Registered Nurse | 3853 Rosecran St, San Diego, CA 92110-3115 | 2018-12-11 |
| 1780139220 | Sarah Sangalang Villanueva | Registered Nurse | 1625 Chalcedony St, 205, San Diego, CA 92109-3169 | 2016-08-24 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1063870376 | Matthew O'connor | Registered Nurse | 3417 Front St, San Diego, CA 92103-4813 | 2016-02-01 |
| 1417320599 | Brittany Moore | Registered Nurse | 4335 Hamilton St Apt 6, San Diego, CA 92104-1271 | 2015-11-11 |
| 1174992812 | Farren Kelly Joynes | Registered Nurse | 6713 Waterman Ct, San Diego, CA 92111-6033 | 2015-09-23 |
| 1922476886 | Nichole Jimmi | Registered Nurse | 1670 Kettner Blvd, Apt 122, San Diego, CA 92101-2522 | 2015-09-09 |
| 1700158672 | Vitaly Juravsky | Registered Nurse | 3853 Rosecrans Street San Diego, Ca, San Diego, CA 92110 | 2012-02-07 |
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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.