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DR. GLENN NORMAN WAGNER DO
NPI 1235656323
Independent Medical Examiner in San Diego, CA

Active since August 29, 2017
5570 OVERLAND AVE STE 101, SAN DIEGO, CA 92123(858) 694-2899(858) 694-2514 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 16, 2018, Aug 29, 2017 (3 updates tracked since 2017).

About Dr. Glenn Norman Wagner Do NPPES

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

DR. GLENN NORMAN WAGNER DO (NPI 1235656323) is an individual independent medical examiner provider in San Diego, California, licensed in California (20A4111) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1235656323
Entity TypeIndividualMale
Primary Taxonomy202C00000X
Provider Legal NameDR. GLENN NORMAN WAGNERCredential: DO
Location Address5570 OVERLAND AVE STE 101San Diego, CA 92123-1215
Mailing Address5570 Overland Ave Ste 101San Diego, CA 92123-1215 · (858) 694-2899 · Fax (858) 694-2514
Phone(858) 694-2899
Fax(858) 694-2514
Sole ProprietorYes
Enumeration DateAugust 29, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1235656323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIndependent Medical ExaminerAllopathic & Osteopathic Physicians
Taxonomy Code202C00000X
License✔ Licensed in CA · 20A4111
Definition
A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
5570 OVERLAND AVE STE 101, San Diego, CA 92123
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. JASON PAUL TOVAR M.D.
Pathology (Forensic Pathology)
5570 OVERLAND AVE STE 101
SAN DIEGO, CA 92123
San Diego County (858) 694-2895
KIMI NICOLE VERILHAC M.D.
Pathology (Forensic Pathology)
5570 OVERLAND AVE STE 101
SAN DIEGO, CA 92123
San Diego County (858) 694-2895
DR. CANDACE HORNEY SCHOPPE M.D.
Pathology (Forensic Pathology)
5570 OVERLAND AVE STE 101
SAN DIEGO, CA 92123
San Diego County (858) 694-3091
JASON WILLIAM KISSELL DO
Student in an Organized Health Care Education/Training Program
5570 OVERLAND AVE STE 101
SAN DIEGO, CA 92123
San Diego County (858) 694-2895
DR. LESLIE ANDERSON MD M.ED.
Pathology (Forensic Pathology)
5570 OVERLAND AVE STE 101
SAN DIEGO, CA 92123
San Diego County (858) 206-9428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Wagner's NPI number?

The NPI number for Glenn Wagner is 1235656323. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Glenn Wagner located?

Glenn Wagner practices at 5570 Overland Ave Ste 101, San Diego, CA 92123. The listed phone number is (858) 694-2899.

What is Glenn Wagner's specialty?

The primary specialty registered for this NPI is Independent Medical Examiner with taxonomy code 202C00000X.

When was this NPI record last updated?

The NPPES record for Glenn Wagner was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.