Peter John Wagner
M.D. | Behavioral Neurology & Neuropsychiatry | 31+ years Exp
39000 Bob Hope Dr, Rancho Mirage
California, 92270-3221
760-837-8767 760-837-8806
Maps & DirectionsPeter John Wagner is a Rancho Mirage, California based neurologist with 31 years of experience in Behavioral Neurology & Neuropsychiatry. He completed his graduation from University Of Colorado School Of Medicine, Denver in 1995. He is also affiliated with hospitals like He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Peter John Wagner is C130554 for Behavioral Neurology & Neuropsychiatry in California. His current practice location is 39000 Bob Hope Dr, Rancho Mirage. Patients can reach him at 760-837-8767 or can fax him at 760-837-8806. Peter John Wagner is M.D. in Behavioral Neurology & Neuropsychiatry and his NPI number (Unique professional ID assigned by NPPES) is 1962403774.
Peter John Wagner has a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Complete Profile:
Peter John Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Peter John Wagner |
| Specialization: | Behavioral Neurology & Neuropsychiatry |
| Gender: | Male |
| Credentials: | M.D. |
| Experience: | 31+ years |
| Medical School Attended: | University Of Colorado School Of Medicine, Denver |
| Graduation Year: | 1995 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 39000 Bob Hope Dr, Rancho Mirage,
California, 92270-3221 |
| Phone: | 760-837-8767 |
| Fax: | 760-837-8806 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| PAC ID: | 8426013673 |
| Enrollment ID: | I20150108002012 |
| NPI Number: | 1962403774 |
| NPI Enumeration Date: | 02 Aug, 2005 |
| NPI Last Update On: | 15 Nov, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peter John Wagner are as mentioned below.
| License Number | Specialization | State | Status | |
| C130554 | Behavioral Neurology & Neuropsychiatry | California | Primary | |
| 36158 | Behavioral Neurology & Neuropsychiatry | Colorado | Secondary | |
| 36158 | Psychiatry & Neurology | Colorado | Secondary | |
| C130554 | Psychiatry & Neurology | California | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (050573) | Rancho mirage, CA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Peter John Wagner is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Eisenhower Medical Center (5890689657) | 358 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Peter John Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 11902761 | Medicaid | Colorado | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Peter John Wagner
39000 Bob Hope Dr,
Rancho Mirage, California |
| Zip: | 92270-3221 |
| Phone Number: | 760-837-8767 |
| Fax Number: | 760-837-8806 |
Patients can reach Peter John Wagner at
39000 Bob Hope Dr, Rancho Mirage, California or can
call to book an appointment on 760-837-8767.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.