Rachel Wagner

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13638 Issued in CA

Practice address

18700 Beach Blvd Ste 120
Huntington Beach, CA 92648-2089

Phone

(147) 962-6760

NPI assigned

Mar 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1669832507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22082 TERESA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921138",
            "telephone_number": "949-680-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 BEACH BLVD STE 120",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482089",
            "telephone_number": "147-962-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "3576",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "13638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyndi Binh Vuu
• Marianne Wade, R.N.
• Edna Waggoner
• Emily Wagner
• Lucille Marie Wagner, P.T.
• Jan Louise Wagniere, LCSW, MFC
• Krista Wagnon, LPCC
• Christy E Wahrer, LISW
• Emile P. Wakim, M.D.
• Paul Emile Wakim, D.O.

• Speech-Language Pathologist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.