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Search › California › 163W00000X

Shannon Wagner

NPI 1972485357 · on the registry since 2025

Practice

Address
20103 Lake Chabot Rd
Castro Valley, CA 94546
Phone
(510) 708-9878
Organisation at this address
Eden Medical Center
David C Bonovich Md
Eden Medical Center
Sutter Bay Hospitals
Shawn K. Kaku, M.D., Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
109

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California