DR. THEODORE DONN HAGMANN MD
NPI 1831629369
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Theodore Hagmann's NPI number?

The NPI number for Theodore Hagmann is 1831629369. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Q: What is Theodore Hagmann's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Hagmann was last updated on June 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 18, 2017PECOS Enrolled

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6400 Get Directions Write a Review

NPPES record last updated: June 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Theodore Donn Hagmann Md NPPES

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

DR. THEODORE DONN HAGMANN MD (NPI 1831629369) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831629369

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. THEODORE DONN HAGMANNCredential: MD

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098

Phone(619) 532-6400

Sole ProprietorNo

Enumeration DateJune 18, 2017

✔ NPI 1831629369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

34800 BOB WILSON DR, San Diego, CA 92134

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Donn Hagmann Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

LORENA MARIE FUJII N.P.

Nurse Practitioner (Pediatrics)