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

Andrew Stephen Wagner, MD

Individual provider Hospice and Palliative Medicine (Family Medicine) Physician · NPI 1285722819

Andrew Stephen Wagner, MD is a Family Practice in Santa Rosa, California. Graduated from Un of California, Irvine, College of Medicine in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
44
Trained at
Un of California, Irvine, College of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

30 Mark West Springs Rd
Santa Rosa, CA 95403-1436
Phone: (707) 576-4000
Fax: (707) 827-6327
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X · Licence G50907 (CA)

Record details

NPI number1285722819
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 10, 2006
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPICE/PALLIATIVE CARE
Medical schoolUN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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