Della Wagner

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-EFJIQV Issued in CA

Practice address

301 E Cook St Ste B
Santa Maria, CA 93454-5133

Phone

(805) 608-2200

NPI assigned

Apr 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Telecare Corporation

  • Mental Illness Community Based Residential Treatment Facility
  • Santa Maria, CA
  • NPI 1659118909
  NPD
• Santa Barbara County Auditor

  • Federally Qualified Health Center (FQHC)
  • Lompoc, CA
  • NPI 1649096249
  NPD (past)
• Telecare Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Maria, CA
  • NPI 1316192149
  NPD (past)

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1124552997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E COOK ST STE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545133",
            "telephone_number": "805-608-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E COOK ST STE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545133",
            "telephone_number": "805-608-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "DELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-EFJIQV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Vong
• Mariah Crystal-Lee Voss, RHIT
• Alycia Vreeland
• VTC Enterprises
• VTC Enterprises
• Ronnie Wagner
• Emile Joseph Waked II, DDS
• Jennifer Claire Waldron
• Michael S Waldron
• Walgreen Co

• Peer Specialist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.