Steven Daniel Wagner, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

020A53980 Issued in CA

Practice address

114 Mission Ranch Blvd
Ste 10
Chico, CA 95926-2186

Phone

(530) 894-0500

Fax

(530) 345-2532

NPI assigned

Sep 13, 2005

Last updated

Feb 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

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

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

• Mission Ranch Primary Care Inc

  • Family Medicine Physician
  • Chico, CA
  • NPI 1316497910
  NPD

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1326033614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MISSION RANCH BLVD",
            "address_2": "STE 10",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262186",
            "telephone_number": "530-894-0500",
            "fax_number": "530-345-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MISSION RANCH BLVD",
            "address_2": "STE 10",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262186",
            "telephone_number": "530-894-0500",
            "fax_number": "530-345-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "STEVEN",
        "middle_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "020A53980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX53980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Waggoner, RVT
• Andrea Lavoy Wagner
• Ethan Williams Wagner
• Jeffrey Mark Wagner, P.T., C.H.T.
• Lora Wagner
• Jeannette Wahlen, LMFT
• Steven A Wahlen, M.D.
• Larry Wainschel, MD
• Esperanza H Wainscoat, LMFT
• Michael Todd Wainscott, RADT

• Family Medicine Physician in Chico, CA
• Providers in Chico, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.