Imad Ibrahim Haddad, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3831 Issued in CA

Practice address

21307 Romar St
Chatsworth, CA 91311-3030

Phone

(818) 718-8849

Fax

(818) 718-8849

NPI assigned

May 29, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033310982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21307 ROMAR ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113030",
            "telephone_number": "818-718-8849",
            "fax_number": "818-718-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21307 ROMAR ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113030",
            "telephone_number": "818-718-8849",
            "fax_number": "818-718-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "IMAD",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38311",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Izabel Guijarro, MASTERS OF SCIENCE
• Ajita Gupta, LCSW
• Lorena Gutierrez
• Christopher Guzman
• H & a Hospice Inc.
• Ryland Hamlet, RN
• Grace Han, M.A., BCBA
• Charl Hanna, BS
• Lisa Hannifin, DC
• Paul J. Hannig, PH.D., MFT

• Podiatrist in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.