| Dr David Wagner, MD | |
|
91 Gregory Ln, Suite 15, Pleasant Hill, CA 94523-4981 | |
| (925) 685-0843 | |
| (925) 685-1899 |
| Full Name | Dr David Wagner |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 91 Gregory Ln, Pleasant Hill, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700804077 | NPI | - | NPPES |
| 00G556520 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | G55652 (California) | Primary |
| Entity Name | John Muir Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841407665 PECOS PAC ID: 6608789813 Enrollment ID: O20031226000143 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Wagner, MD Dept 34929, P.o. Box 39000, San Francisco, CA 94139-0001 Ph: (925) 952-2828 | Dr David Wagner, MD 91 Gregory Ln, Suite 15, Pleasant Hill, CA 94523-4981 Ph: (925) 685-0843 |
Lauren C. Gannon, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2675 Pleasant Hill Rd, Pleasant Hill, CA 94523 Phone: 925-676-1700 | |
Ron Yalon, Pediatrics Medicare: Medicare Enrolled Practice Location: 2675 Pleasant Hill Rd, Pleasant Hill, CA 94523 Phone: 925-692-5570 | |
Nancy Lee Iverson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3470 Buskirk Ave, Pleasant Hill, CA 94523 Phone: 925-887-5678 Fax: 925-887-5667 | |
Dr. Jonathan Harris Hecht, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Taylor Blvd, Suite 306, Pleasant Hill, CA 94523 Phone: 925-691-9688 Fax: 925-691-5091 | |
Ms. Nirali Parekh Singh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 380 Civic Drive, Suite 100, Pleasant Hill, CA 94523 Phone: 925-682-7871 Fax: 925-676-1792 | |
Marie Jose Moubarak, Pediatrics Medicare: Medicare Enrolled Practice Location: 2675 Pleasant Hill Rd, Pleasant Hill, CA 94523 Phone: 925-692-5570 | |
Dr. Febin Baricar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 380 Civic Dr, Ste 100, Pleasant Hill, CA 94523 Phone: 925-676-1700 Fax: 925-676-1792 |