1. Home
  2. Directory
  3. California
  4. Santa Monica
  5. Physician Assistant
  6. NPI Profile

MS. LIV S. HAGSTROM PA-C
NPI 1811986672
Physician Assistant - Surgical in Santa Monica, CA

Active since October 14, 2005
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404(310) 829-8618(310) 829-8607 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2021, Aug 13, 2020 (2 updates tracked since 2020).

About Ms. Liv S. Hagstrom Pa-c NPPES

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

MS. LIV S. HAGSTROM PA-C (NPI 1811986672) is an individual surgical provider in Santa Monica, California, licensed in Washington (PA10004777) and active in the NPI registry since October 2005. She maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1811986672
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. LIV S. HAGSTROMCredential: PA-C
Location Address2121 SANTA MONICA BLVDSanta Monica, CA 90404-2303
Mailing Address75 Francis St, Cardiovascular DivisionBoston, MA 02115-6110 · (617) 733-9667
Phone(310) 829-8618
Fax(310) 829-8607
Sole ProprietorNo
Enumeration DateOctober 14, 2005
Last NPPES UpdateApril 13, 20212 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1811986672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WA · PA10004777
2121 SANTA MONICA BLVD, Santa Monica, CA 90404
Open in Google Maps ↗

Secondary Practice Location 1

Location 175 Francis St, Cardiovascular DivisionBoston, MA 02115-6110 · Phone (617) 733-9667

Other Identifiers 1

Medicaid8413650WA

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.

MINA RIM KANG MD
Hospitalist
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 453-1324
DELPHINE J. LEE MD PHD INC
Dermatology
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 449-5265
ROGER JOSEPH MAH CORPORATION
Anesthesiology
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 829-5511
DR. SEAN DOOLEY M.D.
Internal Medicine (Critical Care Medicine)
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (323) 829-8745
DANIEL ARTENSTEIN
Student in an Organized Health Care Education/Training Program
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 582-7137
JAMIE WHISLER DO
Surgery
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 315-6125
JUDY DANG TRUONG PA
Physician Assistant
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 829-8265
DR. JOSH FAGUET M.D., PH.D.
Hospitalist
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 829-5511

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 Liv Hagstrom's NPI number?

The NPI number for Liv Hagstrom is 1811986672. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Liv Hagstrom located?

Liv Hagstrom practices at 2121 Santa Monica Blvd, Santa Monica, CA 90404. The listed phone number is (310) 829-8618.

What is Liv Hagstrom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Liv Hagstrom was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.