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

Mr. Willis H. Wagner, MD

Individual provider Vascular Surgery Physician · NPI 1003836248

Mr. Willis H. Wagner, MD is a Vascular Surgery in Los Angeles, California. Qualified in 1981, 45 years ago. Practices with Vascular Surgery Associates, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
45
Licensed in
CA
In the registry since
2006
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

8631 W 3rd St Ste 615E
Los Angeles, CA 90048-5901
Phone: (310) 652-8132
Fax: (310) 659-3815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence G049464 (CA)

Record details

NPI number1003836248
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESOctober 8, 2007

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Vascular Surgery Associates — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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