Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul D Wagner M D Inc

Organization Internal Medicine Physician · NPI 1043383144

Paul D Wagner M D Inc is an Internal Medicine Physician in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4060 Fourth Ave Ste 100
San Diego, CA 92103-2120
Phone: (619) 718-9444
Fax: (619) 718-9440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G77188 (CA)

Record details

NPI number1043383144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Connie Johnson — Office Mgr · (619) 718-9444
Other names San Diego Medical Group; San Diego Medical Group
NPI enumeratedNovember 16, 2006
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing address4060 Fourth Ave, Suite 100, San Diego, CA 92103-2120

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