DR. KIMBERLY HAGEN HAGEN PH.D.
NPI 1245369990
Psychologist - Clinical in Los Angeles, CA
About Dr. Kimberly Hagen Hagen Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY HAGEN HAGEN PH.D. (NPI 1245369990) is an individual clinical provider in Los Angeles, California, licensed in California (16798) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kimberly Hagen Hagen Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Hagen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 435 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90059 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
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 Kimberly Hagen's NPI number?
The NPI number for Kimberly Hagen is 1245369990. It was assigned to this individual provider in the NPPES registry on March 5, 2007.
Where is Kimberly Hagen located?
Kimberly Hagen practices at 12021 Wilmington Ave Trailer 6, Los Angeles, CA 90059. The listed phone number is (310) 668-6428.
What is Kimberly Hagen's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kimberly Hagen enrolled in Medicare?
Yes. Kimberly Hagen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Hagen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Hagen reassigns Medicare benefits to County Of Los Angeles (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Hagen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Hagen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Dr. Kimberly Hagen Hagen, PH.D. · NPI 1245369990
Clinical provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 5, 2007.
## Identity
- **NPI:** 1245369990 (Entity type: Individual)
- **Enumerated:** March 5, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 16798 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12021 WILMINGTON AVE, TRAILER 6, Los Angeles, CA 90059-3019
- **Phone:** (310) 668-6428
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** County Of Los Angeles (NPI 1780877613, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1245369990) · Data from the CMS NPPES public registry.