Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Michael Haggerty, MD

Individual provider Family Medicine Physician · NPI 1215108782

Dr. Kevin Michael Haggerty, MD is a Family Practice in Los Gatos, California. Qualified in 2004, 22 years ago. Practices with Los Gatos Premier Medicine PC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14901 National Ave Ste 101
Los Gatos, CA 95032-2637
Phone: (408) 358-7360
Fax: (408) 358-7357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A102085 (CA)

Record details

NPI number1215108782
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 12, 2008
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Los Gatos Premier Medicine Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Los Gatos