Individual provider Active NPI

Katherine Elizabeth Wagner, MD

  • Neurological Surgery Physician
  • Ventura, CA
National Provider Identifier
1093125478
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A171941 Issued in CA
Practice address
168 N Brent St Ste 408
Ventura, CA 93003-2824
Phone
(617) 281-5273
Fax
(805) 643-0672
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 31

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 31

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Rutgers New Jersey Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David L. Westra, MD, a Professional Corporation 2 clinicians
County of Ventura 340 clinicians

Practice addresses (Care Compare)

168 N Brent St
Suite 408
Ventura, CA 93003-2824
Phone 80564321794

300 Hillmont Ave
Ventura, CA 93003-1651

Hospital & facility affiliations

  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • Ventura County Medical Center Hospital, Ventura, CA, CCN 050159
  • Community Memorial Hospital - Ojai Hospital, Ojai, CA, CCN 051334
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion67
Laminectomy or laminotomy (partial removal of spine bones)36

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210608003502 CA Practitioner - Neurosurgery 2961747266 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A171941CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jul 19, 2021 Accepting new patients
Katherine E. Wagner, MD, a Professional Corporation Neurological Surgery CurrentSince Aug 7, 2025 Accepting new patients
County of Ventura CurrentSince Nov 29, 2024 Accepting new patients
David L. Westra, MD, a Professional Corporation Neurological Surgery CurrentSince Aug 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Jul 19, 2021 Accepting new patients
County of Ventura CurrentSince Nov 29, 2024 Accepting new patients
County of Santa Clara Neurological Surgery Current Accepting new patients
County of Santa Clara CurrentSince Jul 19, 2021 Accepting new patients
County of Ventura Current Accepting new patients
County of Santa Clara CurrentSince Jul 19, 2021 Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

300 Hillmont Ave
Ste 401
Ventura, CA 93003
Phone (805) 648-9830

800 S Victoria Ave
#L4640
Ventura, CA 93009

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

168 N Brent St
Ste 408
Ventura, CA 93003
Phone (805) 643-2179

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDHDD/Endpoint/IBDHDD

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A171941 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

168 N Brent St Ste 408
Ventura, CA 93003-2824

Mailing address

168 N Brent St Ste 408
Ventura, CA 93003-2824
Phone (617) 281-5273

Other practice location 1

300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 652-6000

Other practice location 2

825 N 10th St
Santa Paula, CA 93060-1309
Phone (805) 933-8650

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address katherine.wagner@ventura.cernerdirect.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2026.

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1093125478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 408",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032824",
            "telephone_number": "617-281-5273",
            "fax_number": "805-643-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 408",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032824",
            "telephone_number": "617-281-5273",
            "fax_number": "805-643-0672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hillmont Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031651",
            "country_code": "US",
            "telephone_number": "805-652-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 N 10th St",
            "address_purpose": "LOCATION",
            "city": "Santa Paula",
            "state": "CA",
            "postal_code": "930601309",
            "country_code": "US",
            "telephone_number": "805-933-8650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A171941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine.wagner@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "825 N 10th St",
            "city": "Santa Paula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930601309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.