KATHERINE TERESA WAGNER


Address: 1500 San Pablo St, Los Angeles, CA 90033-5313
Phone: 3234427400

KATHERINE TERESA WAGNER (NPI# 1477620235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477620235
Entity Type Individual
Full Name KATHERINE TERESA WAGNER
Credential CRNA
Practice Address 1500 San Pablo St
Los Angeles
CA 90033-5313
Mailing Address Po Box 31309
Los Angeles
CA 90031-0309
Practice Telephone 3234427400
Mailing Telephone 3234427400
Enumeration Date 2006-11-29
Last Update Date 2020-09-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered NA2941 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4760 W Sunset Blvd, Los Angeles, CA 900276063 3237834011

Other Providers KATHERINE WAGNER

NPI Name Taxonomy Address Enumeration
1831603158 Katherine Ann Wagner Occupational Therapist 1353 E Main St, Brownsburg, IN 46112-1433 2017-11-22
1093125478 Katherine Elizabeth Wagner Student in an Organized Health Care Education/Training Program 300 Community Dr, Manhasset, NY 11030-3816 2014-05-06
1538446117 Katherine Ann Wagner Nurse Practitioner 2951 Fulton Ave, Sacramento, CA 95821-4909 2011-11-09
1396908265 Katherine Mary Wagner Pediatrics 13201 Granger Rd Ste 2, Garfield Hts, OH 44125-1979 2008-07-09
1205960812 Katherine Jane Wagner Obstetrics & Gynecology 116 Porter Dr, Middlebury, VT 05753-8501 2007-03-15
1376573923 Katherine Leigh Wagner Nurse Practitioner 405 Main St, Hillsboro, MO 63050-4351 2006-07-03
1639134018 Katherine Noelle Wagner Nurse Practitioner 1301 Pennsylvania Ave, Neonatology Office, Fort Worth, TX 76104-2122 2006-04-19

Office Location

Street Address 1500 SAN PABLO ST
City LOS ANGELES
State CA
Zip Code 90033-5313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063416493 Claire L Templeman Obstetrics & Gynecology 1500 San Pablo St, 3rd Floor, Los Angeles, CA 90033-5313 2005-06-13
1912508995 Marissa Azucena Barraza Registered Nurse 1500 San Pablo St, Los Angeles, CA 90033-5313 2020-11-05
1013514199 Keck Medical Center of Usc General Acute Care Hospital 1500 San Pablo St, Los Angeles, CA 90033-5313 2020-10-02
1750988770 Keck Medical Center of Usc Rehabilitation Unit 1500 San Pablo St, Los Angeles, CA 90033-5313 2020-10-02
1730794314 Deborah Noghreyan Physician Assistant 1500 San Pablo St, Los Angeles, CA 90033-5313 2020-09-10
1902410194 Kimberly Elizabeth Sanchez Clinical Nurse Specialist 1500 San Pablo St, Los Angeles, CA 90033-5313 2020-09-03
1023628120 Allyn M Edano Nurse Practitioner 1500 San Pablo St, Los Angeles, CA 90033-5313 2020-08-04
1992314660 Nadia Ariqat Physician Assistant 1500 San Pablo St, Los Angeles, CA 90033-5313 2020-07-28
1831707504 Regina Ongsing Moss Nurse Practitioner 1500 San Pablo St, Los Angeles, CA 90033-5313 2020-07-20
1700402112 Brittney Anne Bucholtz Nurse Anesthetist, Certified Registered 1500 San Pablo St, Los Angeles, CA 90033-5313 2020-06-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376165050 Noa Yee Student in an Organized Health Care Education/Training Program 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 2020-05-15
1629690144 Monica Lopez Respiratory Therapist, Registered 1251 Marengo St, Los Angeles, CA 90033 2020-05-07
1649890401 Antonio Hernandez Saenz Student in an Organized Health Care Education/Training Program 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 2020-04-22
1417585100 Kelsey Grace Shea Student in an Organized Health Care Education/Training Program 1200 N State St Ird 112, Los Angeles, CA 90033 2020-03-30
1891322780 Carolyn Kan Student in an Organized Health Care Education/Training Program 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 2020-03-23
1902445786 Maury M Hopkins Registered Nurse 1883 Marengo Street, Los Angeles, CA 90033 2019-12-27
1982259792 Beverly Austin Mccabe Registered Nurse 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 2019-08-08
1093369399 Christine Yoon Pharmacist 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 2019-07-25
1073075339 Johanna Keller Student in an Organized Health Care Education/Training Program La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 2019-04-04
1386115137 Sonya Lorain Earley Physician Assistant 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 2018-12-05
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134655616 Joeann Johnson Nurse Anesthetist, Certified Registered 1360 S Figueroa St Apt 405, Los Angeles, CA 90015-2883 2017-05-03
1841678182 Uriah Bahn Nurse Anesthetist, Certified Registered 215 W 7th St, Apt #406, Los Angeles, CA 90014-1839 2015-05-06
1457789398 Mona Mansoori Nurse Anesthetist, Certified Registered 640 N La Jolla Ave, Los Angeles, CA 90048-2237 2013-10-30
1053650275 Vadim Kuraev Nurse Anesthetist, Certified Registered 1830 S. Point View St, Los Angeles, CA 90035-3002 2013-02-07
1376896712 Amy Hudson Crna Inc Nurse Anesthetist, Certified Registered 7367 Waring Ave, Los Angeles, CA 90046-7529 2012-10-23
1881970903 Llewy Charl Rimular Nurse Anesthetist, Certified Registered 1533 Rosalia Rd, Los Angeles, CA 90027-5519 2011-11-03
1942582390 Monique Jabbour Nurse Anesthetist, Certified Registered 1520 San Pable Street, Los Angeles, CA 90033 2011-09-12
1760714273 Barbara L. Giroux, Crna, A Nursing Corp. Nurse Anesthetist, Certified Registered 8088 Oakwood Ave, Los Angeles, CA 90048-2254 2010-02-08
1235370677 Tseganesh Haileselassie Nurse Anesthetist, Certified Registered 1318 Woodruff Ave, Los Angeles, CA 90024-5130 2009-03-16
1457592917 Elizabeth Ann Lopez Nurse Anesthetist, Certified Registered 1811 S New England St, Los Angeles, CA 90006-5313 2009-03-13
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Competitor

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City LOS ANGELES
Zip Code 90033

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Dataset Information

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.

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