GARY WAGNER M.D.
NPI 1235160102
Dermatology in Modesto, CA

Active since July 06, 2006
600 COFFEE RD, MODESTO, CA 95355(209) 524-1211 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gary Wagner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY WAGNER M.D. (NPI 1235160102) is an individual dermatology provider in Modesto, California, licensed in California (A24987) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1235160102
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameGARY WAGNERCredential: M.D.
Location Address600 COFFEE RDModesto, CA 95355-4201
Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 521-6097
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateApril 1, 2016
NPI 1235160102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A24987
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

600 COFFEE RD, Modesto, CA 95355

Other Identifiers 2

Medicare UPINA24233CA
Medicaid00A249871CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
600 COFFEE RD
MODESTO, CA 95355
Internal Medicine
600 COFFEE RD
MODESTO, CA 95355
Radiology (Diagnostic Radiology)
600 COFFEE RD
MODESTO, CA 95355
Podiatrist (Foot & Ankle Surgery)
600 COFFEE RD
MODESTO, CA 95355
Hospitalist
600 COFFEE RD
MODESTO, CA 95355
Anesthesiology
600 COFFEE RD
MODESTO, CA 95355
Anesthesiology
600 COFFEE RD
MODESTO, CA 95355
Anesthesiology
600 COFFEE RD
MODESTO, CA 95355

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235160102, enumerated as an "individual" on July 06, 2006.

The provider is located at 600 COFFEE RD MODESTO, CA 95355 and the phone number is (209) 524-1211.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.