Healthcare Provider Details

I. General information

NPI: 1265415830
Provider Name (Legal Business Name): ROSALIE JANE HAGGE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: ROSALIE JANE PAISLEY

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 Y ST SUITE 3100
SACRAMENTO CA
95817-2307
US

IV. Provider business mailing address

4860 Y ST SUITE 3100
SACRAMENTO CA
95817-2307
US

V. Phone/Fax

Practice location:
  • Phone: 916-703-2273
  • Fax: 916-703-2274
Mailing address:
  • Phone: 916-703-2273
  • Fax: 916-703-2274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License NumberG86720
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number98-00887
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License NumberL3672
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License NumberMED101722
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberG86720
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number98-00887
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberL3672
License Number StateTX
# 8
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMED101722
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: