What is Jimesha Wagoner's NPI number?

Jimesha Wagoner's National Provider Identifier (NPI) is 1023837333, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jimesha Wagoner's specialty?

Jimesha Wagoner is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Jimesha Wagoner located?

Jimesha Wagoner's practice location on file with NPPES is 840 N Avenue 66, Los Angeles, CA 90042-1508.

What is Jimesha Wagoner's phone number?

The practice phone number listed in the NPPES registry for Jimesha Wagoner is (626) 395-7100.

Is Jimesha Wagoner's NPI active?

Yes — Jimesha Wagoner's NPI (1023837333) is active in the NPPES registry as of the last update on 2025-07-16.

IndividualActive

Jimesha Wagoner

NPI 1023837333 · Social Worker · Los Angeles, CA

Jimesha Wagoner is a Social Worker provider in Los Angeles, CA (NPI 1023837333).

Provider details

NPI number: 1023837333
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Social WorkerPrimary104100000XLicense 131874 (CA)
Behavioral Health & Social Service Providers
Social Worker104100000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

840 N Avenue 66

Los Angeles, CA 90042-1508

Phone: (626) 395-7100

Street-level locationGet directions

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Mailing address