Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Elliott Jay Wagner, M.D.

Diagnostic Radiology Physician in Beverly Hills, CA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558312579

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Elliott Jay Wagner

Credential M.D.

Sex Male

Practice address 8750 Wilshire Blvd Ste 100, Beverly Hills, CA, 90211

Phone (310) 689-3100

Enumeration date May 15, 2006

Last updated in NPPES Jul 29, 2025

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 238657-1 (NY) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 036120986 (IL) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License MD2008-0777 (NM) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 25MA08122100 (NJ) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License G49698 (CA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
00G496980	Other	CA	BLUE SHIELD
02917751	Medicaid	NY	-
00G496980	Medicaid	CA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Elliott Wagner practice?

The practice location on file with NPPES is in Beverly Hills, CA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Elliott Wagner?

The National Provider Identifier (NPI) for Elliott Wagner is 1558312579, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-29.