Active NPI
Mats Hagstrom, M.D.
- Plastic and Reconstructive Surgery Physician
- San Francisco, CA
National Provider Identifier
1962575563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- G80721
- Practice address
- 909 Hyde St Ste 210
San Francisco, CA 94109-4845 - Phone
- (415) 475-9809
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | G80721 | CA | Primary |
Addresses
Primary practice location
909 Hyde St Ste 210
San Francisco, CA 94109-4845
Mailing address
909 Hyde St Ste 423
San Francisco, CA 94109-4846
Phone (415) 885-4343
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G80721 | CA | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1962575563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 HYDE ST STE 423",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941094846",
"telephone_number": "415-885-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 HYDE ST STE 210",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941094845",
"telephone_number": "415-475-9809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGSTROM",
"first_name": "MATS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "G80721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.