Katherine E. Wagner, MD, a Professional Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

KATHERINE E. WAGNER, MD, A PROFESSIONAL CORPORATION

Doing business as

Katherine E. Wagner, MD, APC

Practice address

168 N Brent St Ste 408
Ventura, CA 93003-2824

Phone

(805) 643-2179

Fax

(805) 643-0672

NPI assigned

Jul 18, 2025

Last updated

Mar 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leticia Gutierrez

Title

Office Manager

Phone

(805) 643-2179

Specialties & licenses 1

Addresses

Other names 1

• Katherine E. Wagner, MD, APC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Elizabeth Wagner, MD

  • Neurological Surgery Physician
  • Ventura, CA
  • NPI 1093125478
  Medicare reassignment NPD

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1841182243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 408",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032824",
            "telephone_number": "805-643-2179",
            "fax_number": "805-643-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 408",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032824",
            "telephone_number": "805-643-2179",
            "fax_number": "805-643-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE E. WAGNER, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-643-2179"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katherine E. Wagner, MD, APC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katelynn P Karn
• Heidi Suzanne Kash, MA
• Stephen Andrew Kass, LCSW
• Zoheir Hamed Kassem, MD
• Susan Elizabeth Kasser, LMFT
• Katie Josephson Inc.
• Norman Katz, PSY.D.
• Sophie Katz, AMFT
• Dan Kaufman
• Banwant Kaur

• Neurological Surgery Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.