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

Mr. Jason Wagner, PA-C

Individual provider Physician Assistant · NPI 1457753519

Mr. Jason Wagner, PA-C is a Physician Assistant in LA Verne, California. Qualified in 2014, 12 years ago. Practices with Healthcare Partners Affiliates Medical Group, a 790-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3833 Emerald Ave
LA Verne, CA 91750-2904
Phone: (909) 593-4531
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 51951 (CA)

Record details

NPI number1457753519
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2014
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Healthcare Partners Affiliates Medical Group — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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