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

Hailey Renee Cougher

Individual provider Physician Assistant · NPI 1942874052

Hailey Renee Cougher is a Physician Assistant in LA Mesa, California. Qualified in 2022, 4 years ago. Practices with Clinic Services of California Medical Group Inc, a 66-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone: (619) 740-6000
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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 PA61433 (CA)

Record details

NPI number1942874052
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 14, 2021
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing address7180 Central Ave, Lemon Grove, CA 91945-2114

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 Clinic Services Of California Medical Group Inc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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