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

Dr. Benjamin Paul Wagner, MD

Individual provider Pediatrics Physician · NPI 1568924231

Dr. Benjamin Paul Wagner, MD is a Pediatric Medicine in Pleasanton, California. Graduated from University of Kentucky College of Medicine in 2019, 7 years ago. Works from 2 locations. Licensed in California and Washington.

Years since qualifying
7
Trained at
University of Kentucky College of Medicine
Licensed in
CA, WA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4256 Hacienda Dr Ste 100
Pleasanton, CA 94588-8595
Phone: (925) 264-6510
Fax: (925) 263-0251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9040 Jackson Avenue, Tacoma, WA 98431-0001 — (253) 968-3066

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A208292 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence 61339518 (WA)

Record details

NPI number1568924231
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2019
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address4256 Hacienda Dr Ste 100, Pleasanton, CA 94588-8595

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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