Physician Compare National (NPI:1982646832)

HEALTHCARE PROVIDER: JEAN-CLAUDE HAGE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1982646832
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062505506
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070829000717
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAGE
	Individual professional last name
Provider First Name	JEAN CLAUDE
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HOSPICE/PALLIATIVE CARE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HOSPICE/PALLIATIVE CARE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1690 BARTON RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 106
	Group Practice or individual's line 2 address
City	REDLANDS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	923734230
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9098864917
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050129
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST BERNARDINE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y