MR. PAUL BROOKS WAGNER C.C.P. NPI 1518063916

NPI Information

  • NPI: 1518063916
  • Provider Name: MR. PAUL BROOKS WAGNER, C.C.P.
  • Classification: Specialist/Technologist Cardiovascular - 246XC2903X
  • Specialization: Vascular Specialist
  • Entity Type: Individual
  • Address: 1836 HARBOR CV
    MODESTO, CA
    ZIP 95355
  • Phone: (209) 484-8516

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NPI Details

MR. Paul Brooks Wagner, C.C.P. is a vascular specialist specialist technologist cardiovascular in Modesto, CA. The provider is a vascular technologist, also known as a vascular sonographer, creates images of blood vessels and collects data that help physicians diagnose disorders affecting blood flow. Vascular technologists often evaluate blood flow and identify blocked arteries or blood clots. MR. Paul Brooks Wagner, C.C.P. NPI is 1518063916. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1836 HARBOR CV
MODESTO, CA
ZIP 95355-856
Phone: (209) 484-8516
Fax: (209) 576-3613

The enumeration date for this NPI number is 9/15/2006 and was last updated on 7/8/2007.

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
1246XC2903XSpecialist/Technologist CardiovascularVascular Specialist890191-0970MISSISSIPPIYes

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: 11/21/2025

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