Jeffrey Thomas Hagino, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A22515 Issued in CA

Practice address

8110 Laguna Blvd
Elk Grove, CA 95758-8094

Phone

(916) 683-3955

NPI assigned

Mar 24, 2021

Last updated

Sep 20, 2024By the provider in NPPES

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• RX Staffing and Home Care Home health agency, Sacramento, CA, CCN 557690
• Advanced Home Health, Inc Home health agency, Sacramento, CA, CCN 058426
• American River Home Care Home health agency, Sacramento, CA, CCN 059665
• UC Davis Home Care Services Home health agency, Rancho Cordova, CA, CCN 557006
• University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599
• Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Regents of the University of California

  dba UC Davis Medical Group

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1952998973
  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  • Multi-Specialty Clinic/Center
  • Elk Grove, CA
  • NPI 1174966071
  NPD
• Essent PRMC LP

  dba Paris Regional Medical Center

  • Certified Registered Nurse Anesthetist
  • Paris, TX
  • NPI 1376541839
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advanced Home Health Inc

  • Home Health Agency
  • Sacramento, CA
  • NPI 1306069737
  Care Compare affiliation
• American River Home Care

  • Home Health Agency
  • Sacramento, CA
  • NPI 1811317811
  Care Compare affiliation
• Regents of the University of California

  dba Davis Home Care Services

  • Home Health Agency
  • Sacramento, CA
  • NPI 1083640650
  Care Compare affiliation
• Regents of the University of California

  dba University of California Davis Medical Center

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1710918545
  Care Compare affiliation
• RX Staffing and Home Care, Inc

  dba Rx Staffing and Home Care

  • Home Health Agency
  • Sacramento, CA
  • NPI 1003026220
  Care Compare affiliation
• Sutter Valley Hospitals

  dba Sutter Amador Hospital

  • General Acute Care Hospital
  • Jackson, CA
  • NPI 1447494323
  Care Compare affiliation

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1255918587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 LAGUNA BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 LAGUNA BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588094",
            "telephone_number": "916-683-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGINO",
        "first_name": "JEFFREY",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A22515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomikisha Jennifer Hackmon
• Wahida Shokoor Hadaf
• Cessiley Haderlie, AMFT
• John Hadi, PHARM.D.
• Aliyah Hafiz
• Noor Hakim, RD
• Heather Hall Scuderi, MD
• Allen Diallo Hall, M.D.
• Elaine Hall, PT
• Jennifer Hall

• Internal Medicine Physician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.