Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brooklyne Hazenberg, PA-C

Individual provider Physician Assistant · NPI 1104524891

Brooklyne Hazenberg, PA-C is a Physician Assistant in Oceanside, California. Qualified in 2022, 4 years ago. Practices with Medhero San Clemente a Professional Medical Corporation, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4171 Oceanside Blvd Ste 109
Oceanside, CA 92056-6008
Phone: (760) 216-6253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA62332 (CA)

Record details

NPI number1104524891
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 21, 2023
Last updated in NPPESMay 28, 2023
Certification dateMay 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Medhero San Clemente A Professional Medical Corporation — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Oceanside