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ROBERT WAGNER M.D.
NPI 1356363550
Obstetrics & Gynecology - Gynecologic Oncology in Loma Linda, CA

Active since July 24, 2006PECOS Enrolled
11370 ANDERSON ST, STE 3900, LOMA LINDA, CA 92354(909) 558-2806 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert Wagner M.d. NPPES

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

ROBERT WAGNER M.D. (NPI 1356363550) is an individual gynecologic oncology provider in Loma Linda, California, licensed in California (G20612) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356363550
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameROBERT WAGNERCredential: M.D.
Location Address11370 ANDERSON ST, STE 3900Loma Linda, CA 92354-3450
Mailing Address54701 File NumberLos Angeles, CA 90074-4701 · (909) 558-3111
Phone(909) 558-2806
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356363550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in CA · G20612
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
11370 ANDERSON ST, Loma Linda, CA 92354
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Other Identifiers 3

Medicare ID-Type Unspecified00G206120
Medicaid00G206120CA
Medicare UPINA40978

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Wagner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOHN Y KIM M.D.
Otolaryngology
11370 ANDERSON ST, SUITE 2100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
EDMUND YUEY KUN KO M.D.
Urology
11370 ANDERSON ST, SUITE 1100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2830
SNORRI OLAFSSON M.D.
Internal Medicine (Gastroenterology)
11370 ANDERSON ST, STE 3150
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2191
SIGVE K. TONSTAD M.D.
Internal Medicine
11370 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2870
KHASHAYAR DASHTIPOUR M.D.
Psychiatry & Neurology (Neurology)
11370 ANDERSON ST, SUITE 2400
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2880
DOUGLAS DEMING M.D.
Pediatrics (Neonatal-Perinatal Medicine)
11370 ANDERSON ST, STE B-100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2848
ABEL TORRES M.D.
Dermatology (MOHS-Micrographic Surgery)
11370 ANDERSON ST, STE 2600
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2055
MIA NEPOMUCENO-PEREZ M.D.
Pathology (Anatomic Pathology)
11370 ANDERSON ST, STE 2960
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6422

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 Robert Wagner's NPI number?

The NPI number for Robert Wagner is 1356363550. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Robert Wagner located?

Robert Wagner practices at 11370 Anderson St Ste 3900, Loma Linda, CA 92354. The listed phone number is (909) 558-2806.

What is Robert Wagner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Robert Wagner enrolled in Medicare?

Yes. Robert Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Wagner 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.