What is Genesa Wagoner's NPI number?

Genesa Wagoner's National Provider Identifier (NPI) is 1518074160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Genesa Wagoner's specialty?

Genesa Wagoner is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).

Where is Genesa Wagoner located?

Genesa Wagoner's practice location on file with NPPES is 1294 W 6th St, San Pedro, CA 90731-2987.

What is Genesa Wagoner's phone number?

The practice phone number listed in the NPPES registry for Genesa Wagoner is (310) 548-9118.

Is Genesa Wagoner's NPI active?

Yes — Genesa Wagoner's NPI (1518074160) is active in the NPPES registry as of the last update on 2011-12-02.

IndividualActive

Genesa Wagoner, M.D.

NPI 1518074160 · Pediatrics Physician · San Pedro, CA

Genesa Wagoner, M.D. is a Pediatrics Physician provider in San Pedro, CA (NPI 1518074160).

Provider details

NPI number: 1518074160
Entity type: Individual
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Female
Sole proprietor: No
License: G77273 (CA)

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000XLicense G77273 (CA)
Allopathic & Osteopathic Physicians

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

1294 W 6th St

Suite 104

San Pedro, CA 90731-2987

Phone: (310) 548-9118

Fax: (310) 548-1310

Street-level locationGet directions

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Mailing address