DR. STEPHEN JOHN WAGSTAFF D.P.M. NPI 1831196849

NPI Information

  • NPI: 1831196849
  • Provider Name: DR. STEPHEN JOHN WAGSTAFF, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1321 SOUTH ELISEO DRIVE
    GREENBRAE, CA
    ZIP 94904
  • Phone: (415) 925-1150

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NPI Details

DR. Stephen John Wagstaff, D.P.M. is a foot and ankle surgery podiatrist in Greenbrae, CA with 26 years of experience. DR. Stephen John Wagstaff, D.P.M. NPI is 1831196849. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2000

The provider's business location address is:

1321 SOUTH ELISEO DRIVE
GREENBRAE, CA
ZIP 94904
Phone: (415) 925-1150
Fax: (415) 925-1154

The NPI 1831196849 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Cast supplies, long leg splint, adult (11 years +), plaster (HCPCS:Q4041)

The enumeration date for this NPI number is 7/5/2005 and was last updated on 2/18/2022.

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
1213ES0000XPodiatristSports MedicineE4439CALIFORNIANo
2213ES0103XPodiatristFoot & Ankle SurgeryE4439CALIFORNIAYes

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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