Active NPI
James Hagele, M.D.
- Optometrist
- Grass Valley, CA
National Provider Identifier
1528096336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- A20144
- Practice address
- 400 Sierra College Drive
Suite a
Grass Valley, CA 95945-5089 - Phone
- (530) 272-3411
- Fax
- (530) 272-3474
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | A20144 | CA | Primary |
Addresses
Primary practice location
400 Sierra College Drive
Suite a
Grass Valley, CA 95945-5089
Mailing address
400 Sierra College Drive
Suite a
Grass Valley, CA 95945-5089
Phone (530) 272-3411
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A20144 | Other | CA | LICENSE |
| A201440 | Other | CA | MEDI CAL RENDERING NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A20144 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory J Porter MD Inc | Past | Accepting new patients | |
| Sierra View Medical Eye., Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Grass Valley, CA
- NPI 1588849954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1528096336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SIERRA COLLEGE DRIVE",
"address_2": "SUITE A",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455089",
"telephone_number": "530-272-3411",
"fax_number": "530-272-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SIERRA COLLEGE DRIVE",
"address_2": "SUITE A",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455089",
"telephone_number": "530-272-3411",
"fax_number": "530-272-3474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGELE",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "A20144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A20144",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL RENDERING NUMBER",
"identifier": "A201440",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.