MATS HAGSTROM M.D. NPI 1962575563

NPI Information

NPI: 1962575563
Provider Name: MATS HAGSTROM, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
909 HYDE ST STE 210
SAN FRANCISCO, CA
ZIP 94109
Phone: (415) 475-9809
Get Directions

Mats Hagstrom, M.D. is a plastic and reconstructive surgery surgery in San Francisco, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. Mats Hagstrom, M.D. NPI is 1962575563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

909 HYDE ST STE 210
SAN FRANCISCO, CA
ZIP 94109-845
Phone: (415) 475-9809

The NPI 1962575563 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 10/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	G80721	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G72483	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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