Dr. Genesa Wagoner, MD
- Affiliated sites
- 1
- Medical group
- 1
- Insurance carriers
- 13
- State license
- 1
- Year NPI issued
- 2006
- Practice address
- 1300 W 7th St, San Pedro, CA 90732
- Practice phone
- Call (310) 303-7496
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Providence Little Company of Mary Medical Center San Pedro
San Pedro, California
Find Dr. Wagoner's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Genesa Wagoner is a pediatrician in San Pedro, California
Dr. Wagoner practices at Providence Little Company of Mary Medical Center San Pedro in San Pedro, California.
Dr. Wagoner's NPI, 1518074160, was assigned on August 23, 2006. Dr. Wagoner graduated from UCSF School of Medicine in 1992. Dr. Wagoner holds California license G77273.
- NPI
- 1518074160NPI Registry (opens in a new tab)
- NPI enumeration date
- August 23, 2006
- NPI status
- Active
- Practice phone
- (310) 303-7496
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Medical school graduation
- 1992
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data
Dr. Genesa Wagoner practices at Providence Little Company of Mary Medical Center San Pedro in San Pedro, California
Dr. Wagoner's primary practice is Providence Little Company of Mary Medical Center San Pedro, at 1300 W 7th St, San Pedro, CA 90732 in Los Angeles County. The practice phone is (310) 303-7496.
- Providence Little Company of Mary Medical Center San Pedro1300 W 7th St, San Pedro, CA 90732 · Los Angeles CountyPhone(310) 303-7496
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Genesa Wagoner is affiliated with 2 sites of care and 1 medical group
Dr. Wagoner's primary practice is Providence Little Company of Mary Medical Center San Pedro in San Pedro, California. The medical group on file is Providence Medical Institute. Dmand AI also links Dr. Wagoner to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Genesa Wagoner's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Wagoner practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Providence Little Company of Mary Medical Center San Pedro | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Genesa Wagoner is one of 8,236 pediatricians in California
Pediatrics is Dr. Wagoner's primary specialty in the NPI Registry, under taxonomy code 208000000X. Dr. Wagoner is board certified in pediatrics by the American Board of Pediatrics. Dr. Wagoner is licensed in California.
Specialties and state licenses
- Pediatrics, CaliforniaPrimary
Pediatricians near Dr. Wagoner
Counts of pediatricians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Genesa Wagoner's patients have a median age of 14
Across all payers, Dmand AI patient panel data puts Dr. Wagoner's median patient age at 14, with 43% women.
Dr. Wagoner's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 14
Patient panel by sex, all payers
- Women43%
- Men57%
Source: Dmand AI Patient Panel Data
Dr. Genesa Wagoner has 1 award and honors on record
Dmand AI lists 1 award for Dr. Wagoner.
Awards and honors for Dr. Wagoner
- Undated
- AAP Fellow
Source: Dmand AI Professional Profile Data
Dr. Genesa Wagoner graduated from UCSF School of Medicine
Dr. Wagoner graduated from UCSF School of Medicine in 1992. Dr. Wagoner is a member of AAP.
- Medical school
- Board certified in pediatrics
Source: Dmand AI Professional Profile Data
Dr. Genesa Wagoner accepts plans from 13 insurance carriers
Dr. Wagoner is in network with 13 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. HMO plans come from the most carriers, 7. Check the plan with the practice before a visit.
- Aetna
- United Healthcare
- Blue Cross Blue Shield of Michigan
- Elevance
- HCSC
- LA Care
- Alliant Health Plans
- Aspirus Health Plan
- +5 more carriersWith a free account
Plan types Dr. Wagoner accepts, by number of carriers
- HMO7
- PPO7
- EPO4
- POS4
- Medicare3
- Medicaid1
Source: Dmand AI Insurance Network Data
Sources for Dr. Genesa Wagoner's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Genesa Wagoner
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Genesa Wagoner's NPI number?
Dr. Genesa Wagoner's NPI number is 1518074160. It was assigned on August 23, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Genesa Wagoner?
Dr. Genesa Wagoner is a pediatrician in San Pedro, California. The primary specialty in the NPI Registry is Pediatrics Physician (taxonomy code 208000000X).
Where does Dr. Genesa Wagoner practice?
Dr. Wagoner practices at 1300 W 7th St, San Pedro, CA 90732. Dr. Wagoner's primary practice is Providence Little Company of Mary Medical Center San Pedro in San Pedro, California. Dmand AI also links Dr. Wagoner to 1 group practice or clinic.
What is Dr. Genesa Wagoner's office phone number?
The practice phone on file for Dr. Wagoner is (310) 303-7496.
What is Dr. Genesa Wagoner's medical license number?
Dr. Wagoner holds California license G77273.
What medical group is Dr. Genesa Wagoner part of?
Dr. Wagoner is linked to Providence Medical Institute.
Is Dr. Genesa Wagoner board certified?
Yes. Dr. Wagoner is board certified in pediatrics by the American Board of Pediatrics.
Where did Dr. Genesa Wagoner go to medical school?
Dr. Wagoner graduated from UCSF School of Medicine in 1992.
How long has Dr. Genesa Wagoner been practicing?
Dr. Wagoner graduated from medical school in 1992, 34 years ago.
What insurance does Dr. Genesa Wagoner accept?
Dr. Wagoner is in network with 13 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. HMO plans come from the most carriers, 7. Check the plan with the practice before a visit.
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