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

Matthew Wagner

Individual provider Case Manager/Care Coordinator · NPI 1740366350

Matthew Wagner is a Case Manager/Care Coordinator in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

4600 47th Ave Ste 111
Sacramento, CA 95824-3923
Phone: (916) 393-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X
Specialist Taxonomy 174400000X

Record details

NPI number1740366350
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 27, 2006
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

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