JESSE DANIEL HOAGLAND PA-C
NPI 1124360839
Physician Assistant - Medical in Los Angeles, CA
About Jesse Daniel Hoagland Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE DANIEL HOAGLAND PA-C (NPI 1124360839) is an individual medical provider in Los Angeles, California, licensed in California (52657) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jesse Daniel Hoagland Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jesse Hoagland's NPI number?
The NPI number for Jesse Hoagland is 1124360839. It was assigned to this individual provider in the NPPES registry on March 20, 2013.
Where is Jesse Hoagland located?
Jesse Hoagland practices at 808 W 58th St, Los Angeles, CA 90037. The listed phone number is (323) 541-1411.
What is Jesse Hoagland's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jesse Hoagland enrolled in Medicare?
Yes. Jesse Hoagland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jesse Hoagland was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jesse Daniel Hoagland, PA-C · NPI 1124360839
Medical physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 20, 2013.
## Identity
- **NPI:** 1124360839 (Entity type: Individual)
- **Enumerated:** March 20, 2013
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 52657 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 808 W 58TH ST, Los Angeles, CA 90037-3632
- **Phone:** (323) 541-1411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124360839) · Data from the CMS NPPES public registry.