Individual provider Active NPI

Anjani Girish Hagan, MD

  • Family Medicine Physician
  • Newbury Park, CA
National Provider Identifier
1043873185
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A182248 Issued in CA
Practice address
1000 Newbury Rd Ste 150
Newbury Park, CA 91320-6438
Phone
(805) 498-3640
Fax
(805) 498-3641
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A182248 CA Primary

Addresses

Primary practice location

1000 Newbury Rd Ste 150
Newbury Park, CA 91320-6438

Mailing address

1040 Flynn Rd
Camarillo, CA 93012-5092
Phone (805) 673-3930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221007000120 CA Practitioner - Family Practice 3274919782 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinicas del Camino Real IncGroup PAC ID 3173434396, 99 clinicians
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1000 Newbury Rd
Suite 150
Newbury Park, CA 91320-6438
Phone (805) 498-3640

3645 W Shaw Ave
Suite 101
Fresno, CA 93711-3206
Phone (559) 457-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A182248CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Oct 10, 2022 Accepting new patients
University Faculty Associates, Inc. Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Nov 1, 2025 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Oct 10, 2022 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Nov 1, 2025 Accepting new patients
Clinicas del Camino Real Inc Current Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients

Locations

3645 W Shaw Ave
Ste 101
Fresno, CA 93711
Phone (559) 457-6800

3645 W Shaw Ave
#101
Fresno, CA 93711
Phone (559) 457-6800

2740 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5200

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

290 N Wayte Ln
Ste 2100
Fresno, CA 93701
Phone (866) 342-6012

1000 Newbury Rd
Ste 150
Newbury Park, CA 91320
Phone (805) 498-3640

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1043873185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 FLYNN RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125092",
            "telephone_number": "805-673-3930",
            "fax_number": "805-659-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 150",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206438",
            "telephone_number": "805-498-3640",
            "fax_number": "805-498-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "ANJANI",
        "middle_name": "GIRISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A182248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

Verify at the official NPI Registry.