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

NPI Status: Active since June 17, 2006

Contact Information

515 CABRILLO PARK DR
SUITE 120
SANTA ANA, CA
ZIP 92701
Phone: (714) 558-8038
Fax: (714) 558-6033

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  • Individual
  • Male
  • General Practice

About MARK WAGNER

This page provides the complete NPI Profile along with additional information for Mark Wagner, a primary care provider established in Santa Ana, California with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1700821709 assigned on June 2006. The practitioner's primary taxonomy code is 208D00000X with license number G42267 (CA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1700821709
Provider Name
MARK S WAGNER MD
Gender
Male
Entity Type
Individual
Location Address
515 CABRILLO PARK DR SUITE 120 SANTA ANA, CA 92701
Location Phone
(714) 558-8038
Location Fax
(714) 558-6033
Mailing Address
PO BOX 94026 PASADENA, CA 91109
Mailing Phone
(714) 558-8038
Mailing Fax
(714) 558-6033
Is Sole Proprietor?
Yes
Enumeration Date
06-17-2006
Last Update Date
09-01-2015
Code Navigator

A primary care provider (PCP) like Mark Wagner sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
G42267
License State
CA
Taxonomy Description
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

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084A0401XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Addiction Medicine

G42267 (CA)
2208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

G42267 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00G422670MEDICAID (05)CA 
A48890MEDICARE UPIN (02) 
HG42267AMEDICARE PIN (08)CA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1700821709, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 0 + 0 + 1 + 6 + 2 + 2 + 7 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1700821709.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Chiropractor (Sports Physician)
515 CABRILLO PARK DR, STE 100
SANTA ANA, CA 92701
Clinic/Center (Physical Therapy)
515 CABRILLO PARK DR, SUITE 100
SANTA ANA, CA 92701
Clinic/Center (Corporate Health)
515 CABRILLO PARK DR, SUITE 120
SANTA ANA, CA 92701
Clinic/Center
515 CABRILLO PARK DR, SUITE 120
SANTA ANA, CA 92701
Case Manager/Care Coordinator
515 CABRILLO PARK DR
SANTA ANA, CA 92701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700821709, enumerated as an "individual" on June 17, 2006.

The provider is located at 515 CABRILLO PARK DR SUITE 120 SANTA ANA, CA 92701 and the phone number is (714) 558-8038.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.