MR. PAUL BROOKS WAGNER C.C.P.
NPI 1518063916
Specialist/Technologist Cardiovascular - Vascular Specialist in Modesto, CA

Q: What is Paul Wagner's NPI number?

The NPI number for Paul Wagner is 1518063916. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Q: What is Paul Wagner's specialty?

The primary specialty registered for this NPI is Specialist/Technologist Cardiovascular, specializing in Vascular Specialist, with taxonomy code 246XC2903X.

Q: When was this NPI record last updated?

The NPPES record for Paul 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.

Active since September 15, 2006

1836 HARBOR CV, MODESTO, CA 95355(209) 484-8516(209) 576-3613 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Mr. Paul Brooks Wagner C.c.p. NPPES

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

MR. PAUL BROOKS WAGNER C.C.P. (NPI 1518063916) is an individual vascular specialist in Modesto, California, licensed in Mississippi (890191-0970) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1518063916

Entity TypeIndividualMale

Primary Taxonomy246XC2903X

Provider Legal NameMR. PAUL BROOKS WAGNERCredential: C.C.P.

Location Address1836 HARBOR CVModesto, CA 95355-1856

Mailing Address1836 Harbor CvModesto, CA 95355-1856 · (209) 484-8516 · Fax (209) 576-3613

Phone(209) 484-8516

Fax(209) 576-3613

Sole ProprietorYes

Enumeration DateSeptember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1518063916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist Cardiovascular · Vascular SpecialistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246XC2903X

License✔ Licensed in MS · 890191-0970

Definition

A vascular technologist, also known as a vascular sonographer, creates images of blood vessels and collects data that help physicians diagnose disorders affecting blood flow. Vascular technologists often evaluate blood flow and identify blocked arteries or blood clots.

1836 HARBOR CV, Modesto, CA 95355

Open in Google Maps ↗

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 Wagner's NPI number?

The NPI number for Paul Wagner is 1518063916. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Paul Wagner located?

Paul Wagner practices at 1836 Harbor Cv, Modesto, CA 95355. The listed phone number is (209) 484-8516.

What is Paul Wagner's specialty?

The primary specialty registered for this NPI is Specialist/Technologist Cardiovascular, specializing in Vascular Specialist, with taxonomy code 246XC2903X.

When was this NPI record last updated?

The NPPES record for Paul 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.