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MATTHEW HAGEN
NPI 1891547873
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since April 03, 2024
34800 BOB WILSON DR, SAN DIEGO, CA 92134(573) 864-0897 Get Directions Write a Review

NPPES record last updated: January 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2026, Apr 3, 2024 (2 updates tracked since 2024).

About Matthew Hagen NPPES

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

MATTHEW HAGEN (NPI 1891547873) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since April 2024. He maintains a secondary practice location in Renton.

NPPES Registry Identity

NPI1891547873
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW HAGEN
Location Address34800 BOB WILSON DRSan Diego, CA 92134-5000
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-5000 · (573) 864-0897
Phone(573) 864-0897
Sole ProprietorNo
Enumeration DateApril 3, 2024
Last NPPES UpdateJanuary 25, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2026
✔ NPI 1891547873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
34800 BOB WILSON DR, San Diego, CA 92134
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Secondary Practice Location 1

Location 1955 Powell Ave SWRenton, WA 98057-2908 · Phone (573) 864-0897

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)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8910
LAKIESHA NICOLE MURPHY
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 713-3385
SUSANNA BYRNE D.O.
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. PAUL CHARLES CAMPBELL D.O.
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
PHILLIP EDWARD FRY JR. DO
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
BRADLY JAMES STILLEY IDC
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 941-9989
DR. ELIZABETH WHIPPLE PHD
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. ELAN HARDER BRESSLOUR-RASHAP MD
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

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 Matthew Hagen's NPI number?

The NPI number for Matthew Hagen is 1891547873. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Matthew Hagen located?

Matthew Hagen practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (573) 864-0897.

What is Matthew Hagen's specialty?

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

When was this NPI record last updated?

The NPPES record for Matthew Hagen was last updated on January 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.