DR. WILLIAM H WAGGONER (NPI# 1528179058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528179058 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM H WAGGONER |
| Credential | M.D. |
| Practice Address |
10243 Genetic Center Dr San Diego CA 92121-6310 |
| Practice Telephone | 8585266100 |
| Practice Fax Number | 8585266126 |
| Mailing Telephone | 8585266100 |
| Mailing Fax Number | 8585266126 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | G70189 | CA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | G70189 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G701890 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760819015 | William Todd Waggoner | Pharmacist | 104 Highway 31 North, Athens, AL 35611 | 2013-10-02 |
| 1255368049 | William Wallace Waggoner | Physical Therapist | 500 Sagamore Pkwy W Ste 2w, West Lafayette, IN 47906-1459 | 2006-06-27 |
| 1558337584 | William F. Waggoner | Dentist | 8981 W Sahara Ave Ste 110, Las Vegas, NV 89117-5894 | 2006-02-28 |
| Street Address |
10243 GENETIC CENTER DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240967 | Eric R Lovell | Emergency Medicine | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2005-07-26 |
| 1811551930 | Samantha Timanus | Physical Therapist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2019-04-24 |
| 1689169062 | Ylan Ton | Physical Therapist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2018-06-27 |
| 1861908386 | Ashley Jennifer Ennedy | Preventive Medicine | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2017-12-19 |
| 1265979744 | Hossein Manavizadeh | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2017-01-23 |
| 1821533985 | Jessica Llamas | Specialist/Technologist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-12-28 |
| 1770946543 | Jill M. Lundstrom | Pediatrics | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-03-30 |
| 1447610571 | Christina N Nakashima | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-03-02 |
| 1033578661 | Patricia Polikoff | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-02-10 |
| 1265859524 | Angela Sung | Psychiatry & Neurology | 10243 Genetic Center Dr, San Diego, CA 92121 | 2014-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1629626981 | Rejuvenate Medical Group Inc | General Practice | 5030 Camino De La Siesta Ste 404, San Diego, CA 92108-3120 | 2019-08-29 |
| 1114484573 | Revive Medical of San Diego | General Practice | 7220 Trade St Ste 209, San Diego, CA 92121-2326 | 2019-02-21 |
| 1144790643 | Elaine Esguerra | General Practice | 751 Kentmere Ter, San Diego, CA 92154-8415 | 2018-11-28 |
| 1609350909 | Cristina Lavenant Gordon | General Practice | 10912 Derrydown Way, San Diego, CA 92130-2897 | 2018-09-21 |
| 1144723289 | Andrew T Bagby | General Practice | 601 Mc Cain Blvd, San Diego, CA 92135 | 2018-03-15 |
| 1568828671 | Ceferina Pulgar Ruiz | General Practice | 6809 Freed Manor Lane, San Diego, CA 92114 | 2016-01-05 |
| 1578941597 | Zenus Joe Wilson | General Practice | 2446 Trident Way Bldg 637, San Diego, CA 92155-5494 | 2015-05-11 |
| 1457761090 | David Lilienfeld | General Practice | 13412 Pantera Rd, San Diego, CA 92130-1022 | 2014-05-05 |
| 1972920882 | Genevieve Dowling | General Practice | 5575 Ruffin Rd # 100us, San Diego, CA 92123-1380 | 2014-03-28 |
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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.