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

Kirstin Lynette Wagner, PA-C

Individual provider Surgical Physician Assistant · NPI 1376912212

Kirstin Lynette Wagner, PA-C is a Surgical Physician Assistant in Los Angeles, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1520 San Pablo St Ste 4300
Los Angeles, CA 90033-5330
Phone: (323) 442-5849
Show map & directions

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

Additional practice locations (1)

  • 2701 California Ave Sw, Seattle, WA 98116-2405 — (425) 922-0640

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA52754 (CA)

Record details

NPI number1376912212
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2015
Last updated in NPPESJuly 21, 2022

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