JUSTIN PHILIP WAGNER M.D.
NPI 1871818484
Surgery - Pediatric Surgery in Los Angeles, CA
NPI Status: Active since April 07, 2010
Contact Information
200 UCLA MEDICAL PLZ # 265
LOS ANGELES, CA
ZIP 90095
Phone: (310) 206-2429
- Individual
- Male
- Surgery
- Pediatric Surgery
- PECOS Enrolled
About JUSTIN WAGNER
This page provides the complete NPI Profile along with additional information for Justin Wagner, a provider established in Los Angeles, California with a medical specialization in Surgery, focusing in pediatric surgery . The healthcare provider is registered in the NPI registry with number 1871818484 assigned on April 2010. The practitioner's primary taxonomy code is 2086S0120X with license number A117746 (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1871818484
- Provider Name
- JUSTIN PHILIP WAGNER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 200 UCLA MEDICAL PLZ # 265 LOS ANGELES, CA 90095
- Location Phone
- (310) 206-2429
- Mailing Address
- 5767 W CENTURY BLVD STE 400 LOS ANGELES, CA 90045
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-07-2010
- Last Update Date
- 11-05-2019
- Code Navigator
Location Map
Secondary Locations
- 27235 Tourney Rd Ste 2500
Santa Clarita, CA 91355
(310) 206-2429
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
Surgery Pediatric Surgery
- Taxonomy Code
- 2086S0120X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A117746
- License State
- CA
- Taxonomy Description
- A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | A117746 (CA) |
Medicare Participation & PECOS Enrollment Status
Justin Wagner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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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 1871818484, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871818484, enumerated as an "individual" on April 07, 2010.
The provider is located at 200 UCLA MEDICAL PLZ # 265 LOS ANGELES, CA 90095 and the phone number is (310) 206-2429.
Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.
