MS. SUSAN KATALI WAGNER PA-C
NPI 1457544983
Physician Assistant - Medical in Riverside, CA
NPI Status: Active since August 17, 2007
Contact Information
6926 BROCKTON AVE
STE 9
RIVERSIDE, CA
ZIP 92506
Phone: (951) 788-0370
Fax: (951) 788-0390
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
About SUSAN WAGNER
This page provides the complete NPI Profile along with additional information for Susan Wagner, a primary care provider established in Riverside, California with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1457544983 assigned on August 2007. The practitioner's primary taxonomy code is 363AM0700X with license number PA16194 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1457544983
- Provider Name
- MS. SUSAN KATALI WAGNER PA-C
- Other Name
- MS. SUSAN KATALI WAGABAZA PA-C
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6926 BROCKTON AVE STE 9 RIVERSIDE, CA 92506
- Location Phone
- (951) 788-0370
- Location Fax
- (951) 788-0390
- Mailing Address
- 26610 KALMIA AVE MORENO VALLEY, CA 92555
- Mailing Phone
- (951) 601-3814
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-17-2007
- Last Update Date
- 03-07-2023
- Code Navigator
A primary care provider (PCP) like Susan Wagner sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA16194
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2278G1100X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | RCP19999 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA16194 | OTHER (01) | CA | STATE |
| 1034312 | OTHER (01) | GA | NCCPA |
Medicare Participation & PECOS Enrollment Status
Susan Wagner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for MS. SUSAN KATALI WAGNER PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 5 | 7 | 5 | 4 | 4 | 9 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 10 | 4 | 8 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 1 + 0 + 4 + 8 + 9 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1457544983 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104999739 | HUBERT CHARLES WATKINS MD Individual | Dermatology | 6926 BROCKTON AVE SUITE 10 RIVERSIDE, CA 92506 (951) 683-0540 |
| 1780709899 | MR. TRACY SCOTT MACCALLUM LMT Individual | Specialist | 6926 BROCKTON AVE #8 RIVERSIDE, CA 92506 (951) 347-5179 |
| 1841534302 | HUBERT C. WATKINS, M.D., INC. Organization | Clinic/Center (Medical Specialty) | 6926 BROCKTON AVE SUITE 10 RIVERSIDE, CA 92506 (951) 683-0540 |
| 1346431145 | DR. EDILBERTO LUMELAY AGAS JR. M.D. Individual | Pediatrics | 6926 BROCKTON AVE SUITE 6 RIVERSIDE, CA 92506 (951) 779-1670 |
| 1831510353 | LAUREN SEASTROM HUNT N.P. Individual | Nurse Practitioner (Pediatrics) | 6926 BROCKTON AVE SUITE 6 RIVERSIDE, CA 92506 (951) 779-1670 |
| 1184028557 | HERMAN A CARSTENS MD CLINIC OF OBSTETRICS AND GYNECOLOGY P C Organization | Obstetrics & Gynecology | 6926 BROCKTON AVE SUITE 7 RIVERSIDE, CA 92506 (951) 686-8600 |
| 1750419438 | MISSION PEDIATRICS, INC. Organization | Pediatrics | 6926 BROCKTON AVE STE 6 RIVERSIDE, CA 92506 (951) 779-1670 |
| 1730723677 | KATHRYN RACHEL PORTER PA-C Individual | Pediatrics | 6926 BROCKTON AVE RIVERSIDE, CA 92506 (616) 826-9762 |
| 1780076034 | NEGEEN ZAREH D M D INC A PROFESSIONAL CORPORATION Organization | Dentist (General Practice) | 6926 BROCKTON AVE SUITE 3 RIVERSIDE, CA 92506 (951) 784-7123 |
| 1811103823 | MR. NARESH KUMAR SHARMA MD Individual | Orthopaedic Surgery | 6926 BROCKTON AVE SUITE 11 RIVERSIDE, CA 92506 (800) 240-8657 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457544983, enumerated in the NPI registry as an "individual" on August 17, 2007
The provider is located at 6926 Brockton Ave Ste 9 Riverside, Ca 92506 and the phone number is (951) 788-0370
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on August 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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