Individual provider Active NPI

Pamela H.S. Wagner, M.D.

  • Ophthalmology Physician
  • Folsom, CA
National Provider Identifier
1124233184
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A101998 Issued in CA
Practice address
1615 Creekside Dr Ste 110
Folsom, CA 95630-3491
Phone
(916) 649-1515
Fax
(916) 649-1516
NPI assigned
May 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A101998 CA Primary

Addresses

Primary practice location

1615 Creekside Dr Ste 110
Folsom, CA 95630-3491

Mailing address

1515 Response Rd
Sacramento, CA 95815-4805
Phone (916) 649-1515

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
I20110513000513 CA Practitioner - Ophthalmology 2264618974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacramento Eye Consultants a Med CorpGroup PAC ID 5597710319, 10 clinicians

Practice addresses (Care Compare)

1515 Response Rd
Sacramento, CA 95815-4805
Phone (916) 649-1515

1615 Creekside Dr
Suite 110
Folsom, CA 95630-3491
Phone (916) 649-1515

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
100
Promoting interoperability
93
Improvement activities
40
Cost
70.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101998CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacramento Eye Consultants a Med Corp Ophthalmology CurrentSince Jun 1, 2024 Accepting new patients

Locations

1615 Creekside Dr
Ste 110
Folsom, CA 95630
Phone (916) 649-1515

1515 Response Rd
Sacramento, CA 95815
Phone (916) 649-1515

Interoperability endpoints

  • Direct secure messaging: wpamela14970@hpmg.direct-ci.net

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1124233184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 RESPONSE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154805",
            "telephone_number": "916-649-1515",
            "fax_number": "916-649-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 CREEKSIDE DR STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303491",
            "telephone_number": "916-649-1515",
            "fax_number": "916-649-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "PAMELA",
        "middle_name": "H.S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-13",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A101998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.