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

Mark Andrew Wagner, DO

Individual provider Diagnostic Radiology Physician · NPI 1336130087

Mark Andrew Wagner, DO is a Diagnostic Radiology in Madera, California. Qualified in 1985, 41 years ago. Practices with California Medical Imaging Associates Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Licensed in
CA
In the registry since
2005
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

36680 Cloverleaf Ave
Madera, CA 93636-8519
Phone: (209) 489-9347
Fax: (209) 720-0107
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 20A5259 (CA)

Record details

NPI number1336130087
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedNovember 2, 2005
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing address4301 Northstar Way, Modesto, CA 95356-9262

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice California Medical Imaging Associates Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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