Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW WAGNER
Active Sole ProprietorAdult Companion · SACRAMENTO, CA
Registration Details
- NPI Number
- 1740366350
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2006 (19.494918662076 yrs)
- Last Updated
- Jun 4, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
4600 47TH AVE STE 111SACRAMENTO, CA, 958243923Browse CA providers · Browse ZIP 95824
- Phone
- 9163931222
- Primary Specialty
-
Adult Companion
372600000X
- Additional Specialty
- Specialist
- Additional Specialty
- Adult Companion
Other Adult Companion Providers in SACRAMENTO, CA
| Name | Credential | NPI |
|---|---|---|
| BEATRICE TAYLOR | — | 1689718181 |
| MR. BRANDON ANTHONY PANARIELLO | MHRS | 1528195435 |
| MISS JERRI LYNNE GROSSER | MHA III | 1174651822 |
| MR. BUSTER LAMONTE HENDERSON | — | 1871622522 |
| MR. DAVID NONE KUEHNER | BACHELOR'S DEGREE | 1922138536 |
| HEATHER LEE FREEMAN | MHAII | 1831220201 |
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.