What is Gary Wagner's NPI number?

Gary Wagner's National Provider Identifier (NPI) is 1235160102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Gary Wagner's specialty?

Gary Wagner is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).

Where is Gary Wagner located?

Gary Wagner's practice location on file with NPPES is 600 Coffee Rd, Modesto, CA 95355-4201.

What is Gary Wagner's phone number?

The practice phone number listed in the NPPES registry for Gary Wagner is (209) 524-1211.

Is Gary Wagner's NPI active?

Yes — Gary Wagner's NPI (1235160102) is active in the NPPES registry as of the last update on 2016-04-01.

IndividualActive

Gary Wagner, M.D.

NPI 1235160102 · Dermatology Physician · Modesto, CA

Gary Wagner, M.D. is a Dermatology Physician provider in Modesto, CA (NPI 1235160102).

Provider details

NPI number: 1235160102
Entity type: Individual
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: A24987 (CA)

Specialties & taxonomies

Dermatology PhysicianPrimary207N00000XLicense A24987 (CA)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

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

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% 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

600 Coffee Rd

Modesto, CA 95355-4201

Phone: (209) 524-1211

Street-level locationGet directions

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Mailing address