Garrett Torres Wagner

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

118 Avenida Trieste
San Clemente, CA 92672-3238

Phone

(703) 576-7913

NPI assigned

Feb 17, 2026

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

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

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1467305672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 W CORTLAND ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606477018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 AVENIDA TRIESTE",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723238",
            "telephone_number": "703-576-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "GARRETT",
        "middle_name": "TORRES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Visser
• John Robert Vogt, D.C.
• Seema Wadhwani, PTA
• Paul Phillip Wager Jr., MFT
• Burton Wagner, D.C.
• Kerry Grimes Wagner, MPT
• Veronique Emma Wagner, D.C
• Cinthia Irene Walker, PMHNP
• Megan D Walla
• Lacie Wally

• Physician Assistant in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.