Ryan Wagner, PHYSICIANASSISTANT
Ryan Wagner, PHYSICIANASSISTANT is a Physician Assistant in Weimar, California. Qualified in 2022, 4 years ago. Practices with Newstart Medical Group Inc, a 22-clinician group and accepts Medicare assignment.
- Years since qualifying
- 4
- In the registry since
- 2022
Practice location Address checks out
20601 W Paoli LnWeimar, CA 95736
Phone: (530) 637-4025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1871210021 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | October 27, 2022 |
| Last updated in NPPES | October 27, 2022 |
| Certification date | October 24, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Newstart Medical Group Inc — 22 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Weimar
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Diana Christine Popova
20601 W Paoli Ln, Weimar, CA 95736 · (530) 637-4025