Mark S Wagner, MD
Mark S Wagner is a General Practice Physician provider (General Practice) practicing in Santa Ana, CA, registered in the NPPES registry with NPI 1700821709 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1700821709 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mark S Wagner |
| Credential | MD |
| Sex | Male |
| Practice address | Santa Ana, CA, 92701 |
| Phone | 7145588038 |
| Fax | 7145586033 |
| Enumeration date | 2006-06-17 |
| Last updated in NPPES | 2015-09-01 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Primary | G42267 | CA |
| 208VP0000X | Pain Medicine Physician | Secondary | G42267 | CA |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | Secondary | G42267 | CA |
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 |
|---|---|---|---|
| 00G422670 | Medicaid | CA | — |
Copy-ready billing details
Provider: Mark Wagner, MD NPI: 1700821709 Taxonomy: 208D00000X (General Practice Physician) Address: Santa Ana, CA, 92701
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1760584718 | Bruce Lewinter | Individual | Sports Physician Chiropractor | Santa Ana, CA |
| 1457675662 | Pt Plus Rehab, Inc | Organization | Physical Therapy Clinic/Center | Santa Ana, CA |
| 1447637715 | Vascular Access Expert | Organization | Corporate Health Clinic/Center | Santa Ana, CA |
| 1902260714 | Mark S Wagner MD, A Medical Corporation | Organization | Clinic/Center | Santa Ana, CA |
| 1699306415 | Nancy Herrera | Individual | Case Manager/Care Coordinator | Santa Ana, CA |
Verify this record
Cross-check NPI 1700821709 against the authoritative CMS record: view Mark S Wagner on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-09-01.