ROBERT WAGNER NPI 1558499079

NPI Information

  • NPI: 1558499079
  • Provider Name: ROBERT WAGNER
  • Classification: Preventive Medicine - 2083P0500X
  • Specialization: Preventive Medicine/Occupational Environmental Medicine
  • Entity Type: Individual
  • Address: 2850 7TH ST STE 100
    BERKELEY, CA
    ZIP 94710
  • Phone: (510) 845-5170

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NPI Details

Robert Wagner is a preventive medicine/occupational environmental medicine preventive medicine in Berkeley, CA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. Robert Wagner NPI is 1558499079. 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:

2850 7TH ST STE 100
BERKELEY, CA
ZIP 94710-703
Phone: (510) 845-5170

The enumeration date for this NPI number is 2/28/2007 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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineA41235CALIFORNIAYes

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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