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MARK S WAGNER MD
NPI 1700821709
General Practice in Santa Ana, CA

Active since June 17, 2006
515 CABRILLO PARK DR, SUITE 120, SANTA ANA, CA 92701(714) 558-8038(714) 558-6033 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark S Wagner Md NPPES

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

MARK S WAGNER MD (NPI 1700821709) is an individual general practice provider in Santa Ana, California, licensed in California (G42267) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1700821709
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMARK S WAGNERCredential: MD
Location Address515 CABRILLO PARK DR, SUITE 120Santa Ana, CA 92701-5016
Mailing AddressPo Box 94026Pasadena, CA 91109-4026 · (714) 558-8038 · Fax (714) 558-6033
Phone(714) 558-8038
Fax(714) 558-6033
Sole ProprietorYes
Enumeration DateJune 17, 2006
Last NPPES UpdateSeptember 1, 2015
✔ NPI 1700821709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G42267
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License G42267 (CA)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License G42267 (CA)
515 CABRILLO PARK DR, Santa Ana, CA 92701
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Other Identifiers 3

Medicaid00G422670CA
Medicare UPINA48890
Medicare PINHG42267ACA

Other Providers at the Same Location NPPES 5

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

VASCULAR ACCESS EXPERT
Clinic/Center (Corporate Health)
515 CABRILLO PARK DR, SUITE 120
SANTA ANA, CA 92701
Orange County (714) 558-8038
PT PLUS REHAB, INC
Clinic/Center (Physical Therapy)
515 CABRILLO PARK DR, SUITE 100
SANTA ANA, CA 92701
Orange County (714) 571-0141
NANCY HERRERA
Case Manager/Care Coordinator
515 CABRILLO PARK DR
SANTA ANA, CA 92701
Orange County (714) 478-7739
DR. BRUCE LEWINTER DC
Chiropractor (Sports Physician)
515 CABRILLO PARK DR, STE 100
SANTA ANA, CA 92701
Orange County (949) 300-1115
MARK S WAGNER MD, A MEDICAL CORPORATION
Clinic/Center
515 CABRILLO PARK DR, SUITE 120
SANTA ANA, CA 92701
Orange County (714) 558-8038

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 Mark Wagner's NPI number?

The NPI number for Mark Wagner is 1700821709. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Mark Wagner located?

Mark Wagner practices at 515 Cabrillo Park Dr Suite 120, Santa Ana, CA 92701. The listed phone number is (714) 558-8038.

What is Mark Wagner's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mark Wagner was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.