1. Home
  2. Directory
  3. California
  4. Pleasanton
  5. Pediatrics
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BENJAMIN PAUL WAGNER MD
NPI 1568924231
Pediatrics in Pleasanton, CA

Active since April 02, 2019PECOS Enrolled
4256 HACIENDA DR STE 100, PLEASANTON, CA 94588(925) 264-6510(925) 263-0251 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, May 19, 2023, Nov 30, 2022 and 2 more (5 updates tracked since 2019).

About Dr. Benjamin Paul Wagner Md NPPES

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

DR. BENJAMIN PAUL WAGNER MD (NPI 1568924231) is an individual pediatrics provider in Pleasanton, California, licensed in California (A208292) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1568924231
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BENJAMIN PAUL WAGNERCredential: MD
Location Address4256 HACIENDA DR STE 100Pleasanton, CA 94588-8595
Mailing Address4256 Hacienda Dr Ste 100Pleasanton, CA 94588-8595 · (925) 264-6510 · Fax (925) 263-0251
Phone(925) 264-6510
Fax(925) 263-0251
Sole ProprietorNo
Enumeration DateApril 2, 2019
Last NPPES UpdateJuly 14, 20265 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1568924231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · A208292✔ Licensed in WA · 61339518
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4256 HACIENDA DR STE 100, Pleasanton, CA 94588
Open in Google Maps ↗

Secondary Practice Location 1

Location 19040 Jackson AvenueTacoma, WA 98431-0001 · Phone (253) 968-3066 · Fax (253) 968-0384

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Paul Wagner Md 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 94588 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 6

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

DR. JAMES BRANDON THOMPSON DO
Student in an Organized Health Care Education/Training Program
4256 HACIENDA DR STE 100
PLEASANTON, CA 94588
Alameda County (925) 264-6510
BINH NGUYEN
Student in an Organized Health Care Education/Training Program
4256 HACIENDA DR STE 100
PLEASANTON, CA 94588
Alameda County (925) 264-6510
MAMATABEN SURAJ PATEL FNP
Nurse Practitioner
4256 HACIENDA DR STE 100
PLEASANTON, CA 94588
Alameda County (925) 264-6510
MAYA EYLON MD
Student in an Organized Health Care Education/Training Program
4256 HACIENDA DR STE 100
PLEASANTON, CA 94588
Alameda County (925) 264-6510
KENNETH EDEM JOB MD
Family Medicine
4256 HACIENDA DR STE 100
PLEASANTON, CA 94588
Alameda County (925) 264-6510
RUIKANG LIU MD
Pediatrics
4256 HACIENDA DR STE 100
PLEASANTON, CA 94588
Alameda County (925) 263-0313

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 Benjamin Wagner's NPI number?

The NPI number for Benjamin Wagner is 1568924231. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Benjamin Wagner located?

Benjamin Wagner practices at 4256 Hacienda Dr Ste 100, Pleasanton, CA 94588. The listed phone number is (925) 264-6510.

What is Benjamin Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Benjamin Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Benjamin Wagner was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.