LINDSAY DAVIES WAGNER PA-C NPI 1285815209

NPI Information

NPI: 1285815209
Provider Name: LINDSAY DAVIES WAGNER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: UNIVERSITY HEALTHCARE ALLIANCE

PECOS Registration: Yes

Address:
365 HAWTHORNE AVE STE 201
OAKLAND, CA
ZIP 94609
Phone: (510) 452-1345
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Lindsay Davies Wagner, PA-C is a medical physician assistant in Oakland, CA with 17 years of experience. Lindsay Davies Wagner, PA-C NPI is 1285815209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

365 HAWTHORNE AVE STE 201
OAKLAND, CA
ZIP 94609-114
Phone: (510) 452-1345
Fax: (510) 452-1102

The NPI 1285815209 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/19/2007 and was last updated on 6/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA19381	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA19381	OTHER	CALIFORNIA	PA LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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