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Mark Stephen Wagner

Debarred entity

Mark Stephen Wagner is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	Mark Stephen Wagner				[sources]
Birth date	1953-04-10				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	Mark				[sources]
Last name	Wagner				[sources]
Middle name	Stephen				[sources]
NPI	`1700821709`				[sources]
Registration number	`00G422670` · `G 42267`				[sources]
Sector	Physician				[sources]
Unique Entity ID	`PBSVP7H4LL73`				[sources]
Position	SURGERY (PHYSICIAN (MD, DO))				[sources]
Address	515 CABRILLO PARK DRIVE, SUITE, SANTA ANA, CA 92701 · 515 Cabrillo Park Drive, Suite 120, Santa Ana, CA, 92701 · SANTA ANA, CA 92701, USA				[sources]
Last change	2025-09-12	Last processed	2025-11-03	First seen	2024-11-07

Sanctions
Country	Authority	Program	Start date	End date
United States	OPM		2025-02-28	-

A database of suppliers who have been excluded from participating in US federal procurement.

United States · GSA

People and companies excluded from Federally funded health care programs

United States · OIG

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS

Source data IDs: us-medca-f0339131e7c968dfb3973200ed80d370554fdad1 · us-fed-excl-mark-stephen-wagner-92701-santa-ana

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