IndividualActive
Nathan Wagner, IDC
NPI 1295355246 · Independent Duty Corpsman · San Diego, CA
Nathan Wagner, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1295355246).
Provider details
- NPI number
- 1295355246
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
- License
- D7208222 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (619) 532-6000
Street-level locationGet directions
Mailing address
2853 Oro Blanco Cir
Escondido, CA 92027-5257
Registry dates
- Enumerated
- 2020-04-20
- Last updated
- 2020-04-20
- Certified
- 2020-04-20
Frequently asked questions
- What is Nathan Wagner's NPI number?
- Nathan Wagner's National Provider Identifier (NPI) is 1295355246, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nathan Wagner's specialty?
- Nathan Wagner is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Nathan Wagner located?
- Nathan Wagner's practice location on file with NPPES is 34800 Bob Wilson Dr, San Diego, CA 92134-1098.
- What is Nathan Wagner's phone number?
- The practice phone number listed in the NPPES registry for Nathan Wagner is (619) 532-6000.
- Is Nathan Wagner's NPI active?
- Yes — Nathan Wagner's NPI (1295355246) is active in the NPPES registry as of the last update on 2020-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.