ANJANI GIRISH HAGAN (MD) – Family Medicine Physician, NPI 1043873185

ANJANI GIRISH HAGAN (MD) is a healthcare provider. based in Mission viejo, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. A182248 (CA). The NPI Number for ANJANI GIRISH HAGAN (MD) is 1043873185

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ANJANI GIRISH HAGAN (MD)
NPI
1043873185
Phone
Not provided
Address
23052 ALICIA PKWY # H-174
Enumeration Date
15 April 2019
Last Update Date
6 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5594576800
Graduation Year
2019 (7 years ago)
PAC ID
3274919782
Group Practice PAC ID
3870407505
Professional Enrollment ID
I20221007000120
Address ID
CA937113206FR3645XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for ANJANI GIRISH HAGAN (MD)

  • 23052 ALICIA PKWY # H-174

    MISSION VIEJO, CA 926921643

    Phone:

    Type: Mailing

  • 815 MAIN ST STE C

    PEORIA, IL 616021080

    Phone: (309) 672-4977

    Type: Location

  • 1040 FLYNN RD

    CAMARILLO, CA 930125092

    Phone: (805) 673-3930

    Fax: (805) 659-3217

    Type: Mailing

  • 2625 E DIVISADERO ST

    FRESNO, CA 937211431

    Phone: (559) 443-2682

    Fax: (559) 443-2681

    Type: Mailing

  • 2823 FRESNO ST

    FRESNO, CA 937211324

    Phone: (559) 443-2682

    Fax: (559) 443-2681

    Type: Location

  • 1000 NEWBURY RD STE 150

    NEWBURY PARK, CA 913206438

    Phone: (805) 498-3640

    Fax: (805) 498-3641

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $131.

Total Amount is formed as General ($131) + Research ($0) + Ownership ($0) = $131.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: QIAGEN, LLC ($54).

Total Amount

$131

General + Research + Ownership

Payments

5

Total payment records

General Amount

$131

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221007000120IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level2715$0
View full utilization report →

Insurance plans in this area (ZIP 92692)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870407505View full group profile
NameSpecialtyState
-CA
-CA
Family PracticeMS
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
-CA
Internal Medicine, EndocrinologyCA
-CA
Family PracticeCA

Reviews

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Frequently asked questions

Is ANJANI GIRISH HAGAN (MD) listed with a National Provider Identifier?
Yes — ANJANI GIRISH HAGAN (MD) has NPI 1043873185 on file in the registry.
Active or inactive — what applies to ANJANI GIRISH HAGAN (MD)?
You should see ANJANI GIRISH HAGAN (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for ANJANI GIRISH HAGAN (MD)?
At a glance, ANJANI GIRISH HAGAN (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in California is ANJANI GIRISH HAGAN (MD) registered?
Use Mission Viejo, California as the headline location for ANJANI GIRISH HAGAN (MD) here.
Can I trust this NPI listing for ANJANI GIRISH HAGAN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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