Individual provider · Type 1 NPI

David Shane Hagemann, PA

Physician Assistant · Roseville, CA

NPI number 1881675619 Active

Practice location

1412 Blue Oaks Blvd
Roseville, CA 95747-7143

Call (916) 784-7546 Map

Fax (916) 784-7548

Mailing address

4700 Exchange Ct Ste 110
Boca Raton, FL 33431-4450

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA147050 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1881675619

David Shane Hagemann, PA's National Provider Identifier is 1881675619, issued on Nov 9, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roseville, CA. The record was last updated on Aug 5, 2026.