DR. EDWARD ARTHUR WAGNER (NPI# 1487799474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487799474 |
| Entity Type | Individual |
| Full Name | DR. EDWARD ARTHUR WAGNER |
| Credential | M.D. |
| Practice Address |
25500 Rancho Niguel Rd Suite 240 Laguna Niguel CA 92677-7373 |
| Practice Telephone | 9494994540 |
| Practice Fax Number | 9494994541 |
| Mailing Telephone | 9494994540 |
| Mailing Fax Number | 9494994541 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2011-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A61875 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790310860 | Edward T Wagner IIi | Counselor | 201 N 4th Ave Ste 201, Royersford, PA 19468-1952 | 2020-03-09 |
| 1740393917 | Edward C Wagner | Dentist | 2031 E Hospitaltiy Ln, Ste 100, Boise, ID 83716 | 2006-08-15 |
| 1568435741 | Edward Steven Wagner | Obstetrics & Gynecology | 4330 Sheridan St, Ste 101, Hollywood, FL 33021 | 2006-02-09 |
| 1508388935 | Edward Wagner | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-07-07 |
| Street Address |
25500 RANCHO NIGUEL RD SUITE 240 |
| City | LAGUNA NIGUEL |
| State | CA |
| Zip Code | 92677-7373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767170 | Sonja Stumme Krafcik | Internal Medicine | 25500 Rancho Niguel Rd, Suite 150, Laguna Niguel, CA 92677-7302 | 2005-08-12 |
| 1093258188 | Todd Snyder | Dentist | 25500 Rancho Niguel Rd, Suite 230, Laguna Niguel, CA 92677-7302 | 2016-11-22 |
| 1093149197 | Wave Imaging, LLC | Clinic/Center | 25500 Rancho Niguel Rd, Suite 120, Laguna Niguel, CA 92677-7302 | 2013-08-26 |
| 1255764122 | Wave Imaging, LLC | Clinic/Center | 25500 Rancho Niguel Rd, Suite 140, Laguna Niguel, CA 92677-7302 | 2013-08-15 |
| 1447694260 | Sahar Doostzadeh | Dentist | 25500 Rancho Niguel Rd, Suite 160, Laguna Niguel, CA 92677-7302 | 2013-04-23 |
| 1831487958 | Fiona G Anderson | Nurse Practitioner | 25500 Rancho Niguel Rd, Suite 240, Laguna Niguel, CA 92677-7302 | 2011-07-11 |
| 1356637813 | Christopher Michael Davis | Family Medicine | 25500 Rancho Niguel Rd, Suite 100, Laguna Niguel, CA 92677-7302 | 2011-06-23 |
| 1649575770 | Brian Thomas Edwards | Dentist | 25500 Rancho Niguel Rd, Suite #210, Laguna Niguel, CA 92677-7302 | 2011-01-21 |
| 1629207378 | Heidi Vivian Cipollone Herrera | Pediatrics | 25500 Rancho Niguel Rd, L, Laguna Niguel, CA 92677-7302 | 2009-07-02 |
| 1720213457 | Cheryl Stahl | Dentist | 25500 Rancho Niguel Rd, Laguna Niguel, CA 92677-7302 | 2009-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566049 | Amber Kramer | Physical Therapist | 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 | 2019-12-23 |
| 1811548340 | Morgan Peikar | Rehabilitation Hospital | 28441 Springfield Dr, Laguna Niguel, CA 92677 | 2019-09-25 |
| 1871056382 | Jacqueline Evamarie Serrano | Chiropractor | 28062 Forbes Road, Laguna Niguel, CA 92677 | 2019-04-11 |
| 1316408859 | Azadeh Ghafari | Social Worker | 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 | 2019-03-27 |
| 1346741857 | Diana Wang | Physical Medicine & Rehabilitation | 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 | 2018-02-21 |
| 1750833554 | James H. Tran Dds, Dental Corp. | Dentist | 23876 Aliso Creek Road, Laguna Niguel, CA 92677 | 2016-10-27 |
| 1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
| 1740637842 | Michael Dacosta | Dentist | 28862 Calle Vista, Laguna Niguel, CA 92677 | 2016-05-18 |
| 1235590373 | Adrian Gomez | Counselor | 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 | 2016-03-17 |
| 1427455906 | Gracie Heart Home Health LLC | Home Health | 24318 El Pilar, Laguna Niguel, CA 92677 | 2014-11-26 |
| Find all providers in zip 92677 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871141598 | Edward A, Wagner, M.d., Inc. | Internal Medicine | 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999140 | Kamalesh K Sankhala Md Inc | Internal Medicine | 127 S San Vicente Blvd Fl 7, Los Angeles, CA 90048-3311 | 2020-07-21 |
| 1396365144 | Collin Vu Md, Inc. | Internal Medicine | 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 | 2020-04-22 |
| 1720626757 | Fenix Health Medical Oncology Group PC | Internal Medicine | 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 | 2019-12-20 |
| 1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
| 1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
| 1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
| 1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
| 1982106233 | Michael Benjmain, M.d., Inc. | Internal Medicine | 10630 Sepulveda Blvd Ste 202, Mission Hills, CA 91345-1938 | 2018-03-02 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA NIGUEL |
| Zip Code | 92677 |
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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.