IndividualActive
Paul Wagner, C.C.P.
NPI 1518063916 · Vascular Specialist/Technologist Cardiovascular · Modesto, CA
Provider details
- NPI number
- 1518063916
- Entity type
- Individual
- Primary specialty
- Vascular Specialist/Technologist CardiovascularTechnologists, Technicians & Other Technical Service Providers
- Credential
- C.C.P.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 890191-0970 (MS)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Detailed profile(90/100 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
1836 Harbor Cv
Modesto, CA 95355-1856
Phone: (209) 484-8516
Fax: (209) 576-3613
Street-level locationGet directions
Mailing address
1836 Harbor Cv
Modesto, CA 95355-1856
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.