Elliott J Wagner, MD
Radiology, Diagnostic Radiology in Beverly Hills, California
1558312579- Practice location
- 8750 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-2708
- Phone
- 310-689-3100
- Fax
- —
- Last updated
- October 26, 2026
Elliott Jay Wagner is a Radiology, Diagnostic Radiology based in Beverly Hills, CA. Elliott Jay Wagner practices in Beverly Hills, CA and has the professional credentials of MD. The NPI Number for Elliott Jay Wagner is 1558312579 and holds a License No. 25MA08122100 (NJ). The current practice location address for Elliott Jay Wagner is 8750 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-2708 and can be reached out via phone at 310-689-3100.
Provider Profile Details
- NPI Number
- 1558312579
- Provider Name
- Elliott Jay Wagner
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 8750 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-2708
- Phone Number
- 310-689-3100
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 15, 2006
- Last Update Date
- October 26, 2026
- Certification Date
- October 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8750 Wilshire Blvd Ste 100
Beverly Hills, CA 90211-2708 - City
- Beverly Hills
- State
- California
- Zip
- 90211-2708
- Phone Number
- 310-689-3100
Provider Business Mailing Address Details
- Address
- 200 E 66TH St Apt C904
New York, NY 10065-0163 - City
- New York
- State
- NY
- Zip
- 10065-0163
- Phone Number
- 888-886-5238
- Fax Number
- 888-886-9330
License Information
- License Number (1)
- 25MA08122100
- License State (1)
- NJ
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (2)
- 42168
- License State (2)
- KY
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (3)
- 2009029480
- License State (3)
- MO
- Taxonomy (3)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (4)
- G49698
- License State (4)
- CA
- Taxonomy (4)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
- License Number (5)
- 50580
- License State (5)
- AL
- Taxonomy (5)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (6)
- 238657-1
- License State (6)
- NY
- Taxonomy (6)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (7)
- MD2008-0777
- License State (7)
- NM
- Taxonomy (7)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (8)
- 036120986
- License State (8)
- IL
- Taxonomy (8)
- Radiology, Diagnostic Radiology · 2085R0202X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Elliott J Wagner, MD?
The NPI number of Elliott J Wagner, MD is 1558312579. It was assigned on May 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Elliott J Wagner, MD?
Elliott J Wagner, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NJ under license number 25MA08122100.
Where does Elliott J Wagner, MD practice?
The practice location is 8750 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-2708. The office can be reached at 310-689-3100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558312579 directly on the NPPES registry website.