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

Garrett Torres Wagner

Individual provider Physician Assistant · NPI 1467305672

Garrett Torres Wagner is a Physician Assistant in San Clemente, California. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

118 Avenida Trieste
San Clemente, CA 92672-3238
Phone: (703) 576-7913
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1467305672
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 17, 2026
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address2511 W Cortland St Apt 1, Chicago, IL 60647-7018

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