Fullerton Orthopaedic Surgery Medical Group, Inc.
NPI 1174802433ActiveOrganization· Specialist· Huntington Beach, CA
Specialist in Huntington Beach, California, registered in NPPES in August 2011. The authorized official on file is Kendall Wagner, President.
Overview
| NPI | 1174802433 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 4, 2011 |
| Last updated in NPPES | Aug 4, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 20A9973 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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