Mowbray P Hagan (NPI# 1235145590, PAC ID# 1052376365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1235145590 |
| PAC ID by PECOS | 1052376365 |
| Professional Enrollment ID | I20050325000640 |
| Full Name | Mowbray P Hagan |
| Address |
482 Corona Mall Corona CA 92879-1418 |
| Gender | M |
| Credential | MD |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050329 | CORONA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 482 Corona Mall, Corona, CA 92879-1418 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
482 CORONA MALL |
| City | CORONA |
| State | CA |
| Zip | 92879-1418 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Vogtsberg | Chiropractic | 2214 Vesper Crl, Suite 2, Corona, CA 92879 | |
| Scott Tae Won | Chiropractic | 555 Queensland Cir, Suite 102, Corona, CA 92879-1381 | |
| Didier J Trevizo | Chiropractic | 400 S Ramona Ave, Suite 115, Corona, CA 92879-1442 | |
| Quynh Tran | Oral Surgery | 225 E 3rd St A, Corona, CA 92879-1461 | |
| Jasmine Leong | Internal Medicine | 1280 Corona Pointe Ct, Suite 118, Corona, CA 92879-1770 | |
| Christina M Tansy | Physician Assistant | City of Hope Medical Foundation | 1280 Corona Pointe Ct, Suite 112, Corona, CA 92879-1770 |
| Ziad U Khan | Hematology/oncology | City of Hope Medical Foundation | 1280 Corona Pointe Ct, Suite 112, Corona, CA 92879-1770 |
| Misagh Karimi | Hematology/oncology | City of Hope Medical Foundation | 1280 Corona Pointe Ct, Suite 112, Corona, CA 92879-1770 |
| Jeffery T Straley | Nurse Practitioner | City of Hope Medical Foundation | 1280 Corona Pointe Ct, Suite 112, Corona, CA 92879-1770 |
| Gregory Knutzen | Nurse Practitioner | City of Hope Medical Foundation | 1280 Corona Pointe Ct, Suite 112, Corona, CA 92879-1770 |
| Find all physicians in zip 92879 | |||
| City | CORONA |
| Zip Code | 92879 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CORONA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mowbray P Hagan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.