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

Dr. Allan Kosuke Wagner, DO

Individual provider Family Medicine Physician · NPI 1700371523

Dr. Allan Kosuke Wagner, DO is a Family Practice in Ventura, California. Qualified in 2018, 8 years ago. Practices with Community Memorial Health System, a 187-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2721 E Main St
Ventura, CA 93003-2803
Phone: (805) 667-2841
Fax: (805) 667-2846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 147 N Brent St, Ventura, CA 93003-2809 — (805) 652-5672

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A18045 (CA)

Record details

NPI number1700371523
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021
Mailing address147 N Brent St, Ventura, CA 93003-2809

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Community Memorial Health System — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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