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

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

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: July 19, 2026.

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

Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Physician Assistant
Surgical

About LIV HAGSTROM

This page provides the complete NPI Profile along with additional information for Liv Hagstrom, a provider established in Santa Monica, California with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1811986672 assigned on October 2005. The practitioner's primary taxonomy code is 363AS0400X with license number PA10004777 (WA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI: 1811986672 Verify this NPI
Provider Name: MS. LIV S. HAGSTROM PA-C
Gender: Female
Entity Type: Individual
Location Address: 2121 SANTA MONICA BLVD SANTA MONICA, CA 90404
Location Phone: (310) 829-8618
Location Fax: (310) 829-8607
Mailing Address: 75 FRANCIS ST CARDIOVASCULAR DIVISION BOSTON, MA 02115
Mailing Phone: (617) 733-9667
Is Sole Proprietor?: No
Enumeration Date: 10-14-2005
Last Update Date: 04-13-2021
Code Navigator

Location Map

Secondary Locations

75 Francis St Cardiovascular Division
Boston, MA 02115
(617) 733-9667

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physician Assistant Surgical
Taxonomy Code: 363AS0400X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: PA10004777
License State: WA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.