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DISPATCHHEALTH-CA, PC
NPI 1639752553
Emergency Medicine in Tustin, CA

Active since April 29, 2021CLIA 05D2246386 · Accreditation
140 CENTENNIAL WAY, TUSTIN, CA 92780(303) 904-7240 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2023, Jun 2, 2023, Dec 30, 2022 and 3 more (6 updates tracked since 2021).

About Dispatchhealth-ca, Pc NPPES

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

DISPATCHHEALTH-CA, PC (NPI 1639752553), doing business as Andrew Wagner Md Pc, is a healthcare organization registered as an emergency medicine in Tustin, California and active in the NPI registry since April 2021. The organization holds an CLIA Accreditation certificate valid through January 23, 2027, maintains 4 additional practice locations, and lists William Kramer, Ao, as its authorized official.

NPPES Registry Identity

NPI1639752553
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameDISPATCHHEALTH-CA, PC
Location Address140 CENTENNIAL WAYTustin, CA 92780-3711
Mailing Address3827 N Lafayette StDenver, CO 80205-3339 · (303) 904-7240
Phone(303) 904-7240
Organization SubpartNo
Authorized OfficialWilliam KramerAo · (215) 813-5940
Enumeration DateApril 29, 2021
Last NPPES UpdateJuly 15, 20256 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1639752553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
140 CENTENNIAL WAY, Tustin, CA 92780
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Other Names 1

Former Legal Business NameAndrew Wagner Md Pc

Secondary Practice Locations 4

Location 11331 W Avenue J Ste 104Lancaster, CA 93534-2946 · Phone (303) 500-1518
Location 2720 Carnegie Dr Ste 140ESan Bernardino, CA 92408-3516 · Phone (303) 500-1518
Location 34719 Viewridge Ave Ste 130San Diego, CA 92123-1685 · Phone (303) 500-1815
Location 4604 E Huntington Dr Ste BMonrovia, CA 91016-6351 · Phone (303) 500-1518

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D2246386

Dispatchhealth-Ca, PC · Tustin, CA
Active · expires Jan 23, 2027
CLIA Number05D2246386
Laboratory TypePol Temp Testing Site
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorDr. Stefen Ammon
Laboratory Phone(866) 223-9033
Laboratory LocationDispatchhealth-Ca, PC140 Centennial Way, Tustin, CA 92780
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

MS. KEI MARTIN APRN, FNP-C
Nurse Practitioner (Family)
140 CENTENNIAL WAY
TUSTIN, CA 92780
Orange County (949) 594-0446

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 Dispatchhealth-Ca, PC's NPI number?

The NPI number for Dispatchhealth-Ca, PC is 1639752553. It was assigned to this organization in the NPPES registry on April 29, 2021. The provider was formerly known as Andrew Wagner MD PC.

Where is Dispatchhealth-Ca, PC located?

Dispatchhealth-Ca, PC is located at 140 Centennial Way, Tustin, CA 92780. The listed phone number is (303) 904-7240.

What is Dispatchhealth-Ca, PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does Dispatchhealth-Ca, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D2246386) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dispatchhealth-Ca, PC accept?

Health plans from UnitedHealthcare list Dispatchhealth-Ca, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dispatchhealth-Ca, PC was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.