Active NPI
Eliza Cristina Hagen, M.D.
- Neurology Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- C142544
- Practice address
- 1411 E 31St St
Oakland, CA 94602-1018 - Phone
- (510) 535-7646
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 16002 | HI | |
| Neurology Physician | 2084N0400X | C142544 | CA | Primary |
Addresses
Primary practice location
1411 E 31St St
Oakland, CA 94602-1018
Mailing address
1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 535-7646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15400 Foothill Blvd
San Leandro, CA 94578-1009
15400 Foothill Blvd
San Leandro, CA 94578-1015
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142544 | CA | MD | Marriage & Family Therapist |
| C142544 | CA | MD | Neurology Physician |
| 16002 | HI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients |
Locations
15400 Foothill Blvd
Castro Valley, CA 94578
Phone (510) 346-1468
664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
Interoperability endpoints
- ehagen14213@alamedahs.direct-ci.com
Organizations & group practices 3
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.
-
- Clinic/Center
- Alameda, CA
- NPI 1124446158
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
-
- General Acute Care Hospital
- Alameda, CA
- NPI 1831529049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1790853125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 E 31ST ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021018",
"telephone_number": "510-535-7646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 E 31ST ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021018",
"telephone_number": "510-535-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEN",
"first_name": "ELIZA",
"middle_name": "CRISTINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "HI",
"license": "16002",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "C142544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.