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

Mark S Wagner, MD

Individual provider General Practice Physician · NPI 1700821709

Mark S Wagner, MD is a General Practice Physician in Santa Ana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
3
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

515 Cabrillo Park Dr Ste 120
Santa Ana, CA 92701-5016
Phone: (714) 558-8038
Fax: (714) 558-6033
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Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence G42267 (CA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence G42267 (CA)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence G42267 (CA)

Record details

NPI number1700821709
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 17, 2006
Last updated in NPPESSeptember 1, 2015

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