Michael John Hagan, LMFT #131272

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

131272 Issued in CA

Practice address

2469 C St
San Diego, CA 92102-2019

Phone

(619) 565-4494

NPI assigned

Apr 7, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

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  Medicare reassignment NPD (past)
• Kab Medical Group Inc

  • Psychiatry Physician
  • Chula Vista, CA
  • NPI 1639634421
  NPD

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1124657408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191614",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921591614",
            "telephone_number": "619-565-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 C ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022019",
            "telephone_number": "619-565-4494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5060 Shoreham Pl Ste 330",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921225976",
            "country_code": "US",
            "telephone_number": "877-840-6956",
            "fax_number": "619-383-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "LMFT #131272",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Amin Haft, MD
• Sandra Marie Haftorson
• Cami Michele Hagan, BA
• Dawn C Hagan, M.D.
• Jared Hagan, O.D.
• Mellissa Hagberg, LCSW
• Hage Dental Corporation
• Morgan Hage
• Brittany Anne Hagedorn
• Anna Hagel, LCSW

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.