Stephen Wagers, D.P.M., a.P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E1749 Issued in CA

Legal business name

STEPHEN WAGERS, D.P.M., A.P.C.

Practice address

9360 Twin Mountain Cir
San Diego, CA 92126-4827

Phone

(858) 653-4647

Fax

(858) 603-3625

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Clark Wagers, D.P.M.

Title

President

Phone

(858) 653-4647

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275652554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 TWIN MOUNTAIN CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264827",
            "telephone_number": "858-653-4647",
            "fax_number": "858-603-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 TWIN MOUNTAIN CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264827",
            "telephone_number": "858-653-4647",
            "fax_number": "858-603-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN WAGERS, D.P.M., A.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGERS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-653-4647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janetta Sue Stephen, LMFT
• Michael Ledell Stephen Jr., RADT
• Stephens Dental
• Stephens Therapy Associates, Inc.

• Podiatrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.