MR. PAUL PHILLIP WAGER JR. MFT
NPI 1336367267
Marriage & Family Therapist in San Clemente, CA
About Mr. Paul Phillip Wager Jr. Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAUL PHILLIP WAGER JR. MFT (NPI 1336367267) is an individual marriage & family therapist in San Clemente, California, licensed in California (MFT 38677) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Paul Phillip Wager Jr. Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Paul Wager reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN CLEMENTE, CA 92672
SAN CLEMENTE, CA 92672
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 Paul Wager's NPI number?
The NPI number for Paul Wager is 1336367267. It was assigned to this individual provider in the NPPES registry on April 23, 2007.
Where is Paul Wager located?
Paul Wager practices at 161 Avenida Cabrillo, San Clemente, CA 92672. The listed phone number is (949) 285-5486.
What is Paul Wager's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Paul Wager enrolled in Medicare?
Yes. Paul Wager is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Paul Wager's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Wager reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Wager's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Paul Wager was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mr. Paul Phillip Wager Jr., MFT · NPI 1336367267
Marriage & Family Therapist provider in San Clemente, California. Individual provider, active in the CMS NPPES registry since April 23, 2007.
## Identity
- **NPI:** 1336367267 (Entity type: Individual)
- **Enumerated:** April 23, 2007
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MFT 38677 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 161 AVENIDA CABRILLO, San Clemente, CA 92672-4040
- **Phone:** (949) 285-5486
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1336367267) · Data from the CMS NPPES public registry.