Kendra Wagers, L.AC. DTCM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

6233 Issued in CA

Practice address

1230 San Tomas Aquino Rd Apt 114
San Jose, CA 95117-3300

Phone

(702) 845-1560

NPI assigned

Jun 6, 2024

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

State licenses

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1720820277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 SAN TOMAS AQUINO RD APT 114",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951173300",
            "telephone_number": "702-845-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 SAN TOMAS AQUINO RD APT 114",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951173300",
            "telephone_number": "702-845-1560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 Sherwood Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "940221344",
            "country_code": "US",
            "telephone_number": "702-845-1560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGERS",
        "first_name": "KENDRA",
        "credential": "L.AC. DTCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "6233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Waddell, D.C.
• Tamara Joyce Wade
• Terence Lewue Wade, D.C.
• Sonia Pratik Wadher
• Marion Marsha Wadley, ED.D
• Ann Louise Wagner, LCSW
• Brian Wagner, L.M.F.T.
• Caroline Silva Wagner
• David A Wagner
• Erik Wagner

• Acupuncturist in San Jose, CA
• Providers in San Jose, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.