Rebecca Waggoner, LCGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC001639 Issued in CA

Practice address

1450 Biggy St
Los Angeles, CA 90033-1006

Phone

(323) 865-0911

NPI assigned

Sep 13, 2022

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

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1336861830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WESTMOUNT DR APT 302",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695142",
            "telephone_number": "714-913-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 BIGGY ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331006",
            "telephone_number": "323-865-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "REBECCA",
        "credential": "LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC001639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Wagar, MD
• Wagdy W. Kades, M.D. Inc.
• Alyssa Claire Wagenhals, CRNA
• Virginia Wagenknecht, L.AC.
• Elizabeth Wages, LCSW
• Rhea Wagle
• Allan J Wagman, MD
• Malorie Anne Wagman, AUD
• Tomas Wagmister, MSW, LCSW
• Kristi Lynn Wagner-Steh, PHD

• Genetic Counselor (M.S.) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.