BERHANE HAGOS MD
NPI 1790421907
Emergency Medicine in La Mesa, CA
About Berhane Hagos Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERHANE HAGOS MD (NPI 1790421907) is an individual emergency medicine provider in La Mesa, California, licensed in California (A201905) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Berhane Hagos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Berhane Hagos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Avalon, CA 90704
- Reassigned Medicare billing, California enrollment
- 42 clinicians in this Medicare group
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 219 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 91942 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.
LA MESA, CA 91942
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 Berhane Hagos's NPI number?
The NPI number for Berhane Hagos is 1790421907. It was assigned to this individual provider in the NPPES registry on May 10, 2022.
Where is Berhane Hagos located?
Berhane Hagos practices at 5555 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 465-0711.
What is Berhane Hagos's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Berhane Hagos enrolled in Medicare?
Yes. Berhane Hagos is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Berhane Hagos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Berhane Hagos reassigns Medicare benefits to 2 organizations: Avalon Medical Development Corporation (Avalon, CA) and Regents Of The University Of (Orange, CA). Each 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 Berhane Hagos'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 Berhane Hagos was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.
# Berhane Hagos, MD · NPI 1790421907
Emergency Medicine physician in La Mesa, California. Individual provider, active in the CMS NPPES registry since May 10, 2022.
## Identity
- **NPI:** 1790421907 (Entity type: Individual)
- **Enumerated:** May 10, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A201905 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5555 GROSSMONT CENTER DR, La Mesa, CA 91942-3019
- **Phone:** (619) 465-0711
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Avalon Medical Development Corporation (NPI 1346250347, Avalon, CA); Regents Of The University Of (NPI 1154379394, Orange, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790421907) · Data from the CMS NPPES public registry.