Christopher Robert Wagner

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

154300 Issued in CA

Practice address

55865 El Dorado Dr
Yucca Valley, CA 92284-3535

Phone

(760) 620-5554

NPI assigned

Nov 10, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Father'S Heart- a Ranch for Children Inc

  • Community/Behavioral Health Agency
  • Desert Hot Springs, CA
  • NPI 1871004341
  NPD (past)
• Hernandez Marriage & Family Counseling Corp.

  • Marriage & Family Therapist
  • Palm Springs, CA
  • NPI 1851942072

  Mental Health

  NPD (past)
• Kathryn Gonzales

  • Social Worker
  • Thousand Oaks, CA
  • NPI 1497647309
  NPD (past)

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1366044778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55865 EL DORADO DR",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843535",
            "telephone_number": "760-861-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55865 EL DORADO DR",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843535",
            "telephone_number": "760-620-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-10",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "154300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vision Professionals a Medical Corporation
• Vons Companies Inc
• VVS1 LLC
• Mary Waalk, AMFT
• Megan Wagemaker
• Wal-Mart Stores, Inc
• Debra Walbrink
• Walgreen Co
• Brandy Rae Marie Wallace
• Joseph C. Wallace

• All providers in Yucca Valley, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.