Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568924231 Individual Practitioner Male Practitioner

Dr. Benjamin Paul Wagner , MD

Pediatrics • Pleasanton, CA

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Wagner, MD is a registered healthcare professional specializing in Pediatrics in Pleasanton, CA. Practice services are available at 4256 HACIENDA DR STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4256 Hacienda Dr Ste 100

Pleasanton, CA 945888595

Telephone 9252646510
Fax 9252630251

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Pleasanton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.6 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
38 Specialists

Practicing in Pleasanton, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A208292

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WA 61339518

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

9040 Jackson Avenue

Tacoma, WA 984310001

Phone: 2539683066

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. James Thompson , DO

Student in an Organized Health Care Education/Training Program

NPI 1265228290

Doctor of Osteopathic Medicine (D.O.)

Dr. Cathy Tran , DO

Student in an Organized Health Care Education/Training Program

NPI 1275477036

Doctor of Osteopathic Medicine (D.O.)

Binh Nguyen

Student in an Organized Health Care Education/Training Program

NPI 1558157529
Mamataben Patel , FNP

Nurse Practitioner

NPI 1710512124

Family Nurse Practitioner

Dr. Maya Eylon , MD

Student in an Organized Health Care Education/Training Program

NPI 1760168991

Doctor of Medicine (M.D.)

Dr. Kenneth Job , MD

Family Medicine

NPI 1760942825

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location July 14, 2026

Registered at 4256 HACIENDA DR STE 100, PLEASANTON, CA 945888595 (Tel: 9252646510)

📍
Updated Business Mailing Address July 14, 2026

Registered at 4256 HACIENDA DR STE 100, PLEASANTON, CA 945888595 (Tel: 9252646510)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2026

Pediatrics (License #A208292 in CA)

📍
Updated Practice Location March 20, 2024

Registered at 9040 JACKSON AVENUE, TACOMA, WA 984310001 (Tel: 2539683066)

📍
Updated Business Mailing Address March 20, 2024

Registered at 9040 JACKSON AVENUE, TACOMA, WA 984310001 (Tel: 2539683066)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2024

Pediatrics (License #61339518 in WA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2023

Pediatrics (License #0101271872 in VA)

📍
Updated Practice Location November 30, 2022

Registered at 9060 JACKSON AVENUE, TACOMA, WA 984310001 (Tel: 2539683066)

📍
Updated Business Mailing Address November 30, 2022

Registered at 9060 JACKSON AVENUE, TACOMA, WA 984310001 (Tel: 2539683066)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2022

General Practice (License #0101271872 in VA)

NPI Profile Active April 02, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2019

Registered at 1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 968595001 (Tel: 8084336697)

📍
Updated Business Mailing Address April 02, 2019

Registered at 1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 968595001

👤
Provider Name / Credentials Updated April 02, 2019

Recorded as BENJAMIN WAGNER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 02, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568924231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2019
Last Update: July 14, 2026
Sole Proprietor: No

Mailing Address

4256 Hacienda Dr Ste 100

Pleasanton, CA 945888595

Phone: 9252646510

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.