Shannon Wagner

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

2086 Commerce Ave
Concord, CA 94520-4902

Phone

(925) 827-0212

NPI assigned

Feb 1, 2007

Sex

Female

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467590737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 SMOKETREE COMMONS",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667963",
            "telephone_number": "310-809-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 COMMERCE AVE",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204902",
            "telephone_number": "925-827-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Wadsworth
• Brandi Wafer
• Allison Waggoner, NP
• Lindsay Davies Wagner, PA-C
• Lisa M Wagner, MA, MFT, PPS
• Zamaray Wahaj
• Umar Waheed
• Elizabeth Wahl-Polivka
• Angela Wahl
• April Waight

• Community/Behavioral Health Agency in Concord, CA
• Providers in Concord, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.