Matthew Wagner

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

4600 47TH Ave Ste 111
Sacramento, CA 95824-3923

Phone

(916) 393-1222

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1740366350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10741 FAIR OAKS BLVD APT 110",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287903",
            "telephone_number": "916-965-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 47TH AVE STE 111",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958243923",
            "telephone_number": "916-393-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Wagner, RN, FNP-BC, NP-C
• Leslie Wagner, RN
• Linda Wagner
• Maresha Wagner
• Marilou Wagner, CRNA
• Melissa Wagner
• Michelle Wagner, B.C.B.A
• Paula Wagner, FNP
• Sarah Ruth Wagner, NP
• Keith Harold Wagoner, COUNSELOR

• Adult Companion in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Adult Companion in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.