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

Dr. Gerrit Lee Wagner, DC, LAC

Individual provider Chiropractor · NPI 1720480189

Dr. Gerrit Lee Wagner, DC, LAC is a Chiropractic in Redlands, California. Graduated from Los Angeles College of Chiropractic in 2014, 12 years ago. Practices with Phillips-White Chiropractic Corporation, a 9-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Trained at
Los Angeles College of Chiropractic
Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

620 Alabama St
Redlands, CA 92373-8059
Phone: (909) 792-4434
Fax: (909) 335-1139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC33062 (CA)
Acupuncturist Taxonomy 171100000X · Licence AC16183 (CA)

Record details

NPI number1720480189
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , LAC
Sole proprietorYes
NPI enumeratedSeptember 17, 2014
Last updated in NPPESMarch 3, 2015

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLOS ANGELES COLLEGE OF CHIROPRACTIC
Graduated 2014 (12 years in practice)
Group practice Phillips-White Chiropractic Corporation — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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