Mowbray P. Hagan, M.D. Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A29431 Issued in CA

Legal business name

MOWBRAY P. HAGAN, M.D. INC.

Practice address

760 Washburn Ave Ste 4
Corona, CA 92882-3303

Phone

(951) 734-6110

Fax

(951) 734-9989

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mowbray P. Hagan, M.D.NPI 1235145590

Title

President

Phone

(951) 734-6110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Mowbray P Hagan MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mowbray P Hagan, MD, Inc

  • Non-Pharmacy Dispensing Site
  • Corona, CA
  • NPI 1073824199
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mowbray Philip Hagan, MD

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1235145590
  Medicare reassignment NPD Authorized official
• Joel A Pengson, MD

  • Internal Medicine Physician
  • Moreno Valley, CA
  • NPI 1720018237
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1356353361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WASHBURN AVE STE 4",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823303",
            "telephone_number": "951-734-6110",
            "fax_number": "951-734-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 WASHBURN AVE STE 4",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823303",
            "telephone_number": "951-734-6110",
            "fax_number": "951-734-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOWBRAY P. HAGAN, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "MOWBRAY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-734-6110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A29431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlena Moss
• Janine Mottola
• Aafiya Mohammed Javeed Moulvi, PHARMD
• Manal Moussaoui
• Mowbray P Hagan, MD, Inc
• Mpol Laboratory LLC
• MPZ Dermatology
• Mr Patel DDS, Inc.
• MST Consulting, LLC.
• Teresia Ndete Muathe, REGISTERED NURSE

• Primary Care Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.