WAGNER CHIROPRACTIC (NPI# 1932405644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932405644 |
| Entity Type | Organization |
| Organization Name | WAGNER CHIROPRACTIC |
| Practice Address |
17383 W Sunset Blvd Ste A230 Pacific Palisades CA 90272-4181 |
| Practice Telephone | 3102302145 |
| Practice Fax Number | 3102302152 |
| Mailing Telephone | 3102302145 |
| Mailing Fax Number | 3102302152 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |
| Authorized Official Name | DR. EDWARD WAGNER (PRESIDENT) |
| Authorized Official Telephone | 3102302145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 11827 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497729438 | Wagner Chiropractic | Chiropractor | 1723 Grandview Blvd, Sioux City, IA 51105-1116 | 2006-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | WAGNER CHIROPRACTIC CENTER, LLC | 3778 E Union St, Lafayette, IN 47905 |
| Street Address |
17383 W SUNSET BLVD STE A230 |
| City | PACIFIC PALISADES |
| State | CA |
| Zip Code | 90272-4181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053852590 | Lynn Watanabe | Dentist | 881 Alma Real Drive Suite 222, Pacific Palisades, CA 90272 | 2017-03-16 |
| 1891248217 | Ericka Hofmeyer | Marriage & Family Therapist | 17015 Pacific Coast Highway, Spc 28, Pacific Palisades, CA 90272 | 2016-08-02 |
| 1053767137 | Laura Kirkland | Dental Therapist | 984 Monument Drive, 207, Pacific Palisades, CA 90272 | 2016-05-09 |
| 1003288846 | Traig Ty Trumbo | Chiropractor | 12519 Sunset Blvd, Suite 203, Pacific Palisades, CA 90272 | 2015-10-20 |
| 1356712442 | Kathryn Hope Carter | Counselor | 881 Alma Real Drive, Suite 218, Reconnect Integrative Trauma Treatment Center, Pacific Palisades, CA 90272 | 2015-10-14 |
| 1922480946 | John Pietrzak | Psychologist | 15340 Albright St Unit 106, Pacific Palisades, CA 90272 | 2015-06-25 |
| 1841607652 | Babak Forooghi | Dentist | 15720 Ventura Blvd. Suite 311, Encino, CA 90272 | 2014-07-14 |
| 1679992374 | Julie Erickson | Marriage & Family Therapist | 1052 Kagawa Street, Pacific Palisades, CA 90272 | 2014-04-09 |
| 1669750816 | Communy Care At Home | Adult Companion | 1623 S. La Cienega Blvd, Los Angeles, CA 90272 | 2011-07-21 |
| 1548498165 | Norman J. Rubaum | Surgery | 620 Enchanted Way, Pacific Palisades, CA 90272 | 2009-06-23 |
| Find all providers in zip 90272 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288846 | Traig Ty Trumbo | Chiropractor | 12519 Sunset Blvd, Suite 203, Pacific Palisades, CA 90272 | 2015-10-20 |
| 1316113053 | Vital Force Chiropractic, Inc. | Chiropractor | 910 Via De La Paz Ste 102, Pacific Palisades, CA 90272-3568 | 2008-05-02 |
| 1497937114 | Ruth Marie Ziemba | Chiropractor | 1515 Palisades Dr Ste P, Pacific Palisades, CA 90272-2174 | 2007-12-04 |
| 1922297308 | Stephen A Koff | Chiropractor | 688 Bienveneda Ave Apt D, Pacific Palisades, CA 90272-3340 | 2007-10-22 |
| 1811014921 | Bruce Beddoe D.c. | Chiropractor | 15247 W Sunset Blvd, #202, Pacific Palisades, CA 90272-3624 | 2007-03-23 |
| 1477636488 | Luke S Cohen | Chiropractor | 16624 Marquez Ave, Pacific Palisades, CA 90272 | 2006-10-23 |
| 1184644585 | Bruce Beddoe | Chiropractor | 15150 W Sunset Blvd, Pacific Palisades, CA 90272-3720 | 2006-07-20 |
| 1548266901 | Andrea Shakarian | Chiropractor | 17383 W Sunset Blvd, Suite A230, Pacific Palisades, CA 90272-4181 | 2005-06-21 |
| 1710345392 | Russel Myers | Chiropractor | 16624 Marquez Ave, Pacific Palisades, CA 90272-3233 | 2016-02-10 |
| 1750669446 | Kristof P Szentivanyi | Chiropractor | 15247 W Sunset Blvd, Suite 202, Pacific Palisades, CA 90272-3624 | 2011-07-28 |
| Find all providers in PACIFIC PALISADES | ||||
| City | PACIFIC PALISADES |
| Zip Code | 90272 |
Please comment or provide details below to improve the information on WAGNER CHIROPRACTIC.
| 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.