Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON WAGNER, PA-C
ActiveMR. JASON WAGNER, PA-C is a Physician Assistant healthcare provider located in LA VERNE, California. NPI 1457753519 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LA VERNE, CA
Registration Details
- NPI Number
- 1457753519
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2014 (11.720507178183 yrs)
- Last Updated
- Jan 14, 2026
- License
-
51951 (CA)
Practice Information
- Address
-
3833 EMERALD AVELA VERNE, CA, 917502904Browse CA providers · Browse ZIP 91750
- Phone
- 9095934531
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LA VERNE, CA
| Name | Credential | NPI |
|---|---|---|
| MATTHEW JORDAN SANTA CRUZ | PA | 1609424027 |
| REY CASTILLO EMMANUELLI | PA | 1003622317 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.