1. Home
  2. Directory
  3. California
  4. Davis
  5. Pediatrics
  6. NPI Profile

PROF. RANDI JENSSEN HAGERMAN M.D.
NPI 1659356020
Pediatrics - Developmental - Behavioral Pediatrics in Davis, CA

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
4307 REDBUD PL, DAVIS, CA 95616(530) 750-2141 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Prof. Randi Jenssen Hagerman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROF. RANDI JENSSEN HAGERMAN M.D. (NPI 1659356020) is an individual developmental - behavioral pediatrics provider in Davis, California, licensed in California (G32435) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1975).

NPPES Registry Identity

NPI1659356020
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NamePROF. RANDI JENSSEN HAGERMANCredential: M.D.
Location Address4307 REDBUD PLDavis, CA 95616-6071
Mailing Address4307 Redbud PlDavis, CA 95616-6071 · (530) 750-2141
Phone(530) 750-2141
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1975
Enumeration DateDecember 8, 2005
Last NPPES UpdateDecember 6, 2011
✔ NPI 1659356020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in CA · G32435
Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

4307 REDBUD PL, Davis, CA 95616
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINA91445CA

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

Prof. Randi Jenssen Hagerman M.d. 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.

PECOS PAC ID7618040676
PECOS Enrollment IDI20080723000936
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Randi Hagerman's NPI number?

The NPI number for Randi Hagerman is 1659356020. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Randi Hagerman located?

Randi Hagerman practices at 4307 Redbud Pl, Davis, CA 95616. The listed phone number is (530) 750-2141.

What is Randi Hagerman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Randi Hagerman enrolled in Medicare?

Yes. Randi Hagerman 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 Randi Hagerman was last updated on December 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.