Jose Rafael Doroy Wagas

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3815 Marconi Ave
Sacramento, CA 95821-3867

Phone

(916) 890-3000

NPI assigned

Jun 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rafael Wagas Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1497323026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 MARCONI AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958213867",
            "telephone_number": "916-890-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 MARCONI AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958213867",
            "telephone_number": "916-890-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGAS",
        "first_name": "JOSE RAFAEL",
        "middle_name": "DOROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT22006",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAEL",
            "last_name": "WAGAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gina Lorene Wadsworth, LVN
• Gloria Lorraine Wadud
• Anastasia C. Waechter, M.D.
• Neal Ramsey Waechter, MD
• Lois Elaine Waetjen, M.D.
• Sonali Raman Wagh, DDS
• Amanda Wagner
• Brian Lee Wagner, M.D.
• Katherine Ann Wagner, RN, FNP-BC, NP-C
• Leslie Wagner, RN

• Case Manager/Care Coordinator in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.