Fadi a. Haddad, M.D., Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FADI A. HADDAD, M.D., INC.

Practice address

8860 Center Dr Ste 320
La Mesa, CA 91942-7001

Phone

(619) 376-1904

Fax

(619) 376-1909

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fadi A. Haddad, M.D.NPI 1689692956

Title

President

Phone

(619) 376-1904

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fadi Haddad

  • Infectious Disease Physician
  • La Mesa, CA
  • NPI 1689692956
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Krauth, M.D.

  • Infectious Disease Physician
  • San Diego, CA
  • NPI 1699124347
  Medicare reassignment Care Compare group NPD
• Mandeep Kaur Jaggi, NP

  • Family Nurse Practitioner
  • La Mesa, CA
  • NPI 1609698091
  Medicare reassignment NPD
• Luke Cody Roy, FNP-BC

  • Family Nurse Practitioner
  • La Mesa, CA
  • NPI 1235696964
  Medicare reassignment NPD

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1053590349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR STE 320",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-376-1904",
            "fax_number": "619-376-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR STE 320",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-376-1904",
            "fax_number": "619-376-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADI A. HADDAD, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-376-1904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fadi@drhaddad.kareodirect.com",
            "affiliation": "N",
            "endpointDescription": "fadi@drhaddad.kareodirect.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "8860 Center Dr Ste 320",
            "city": "LA Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919427001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jerry M Fabrikant, D.P.M.
• Fabulous Hearing LLC
• Jeremy Ian Factor, D.D.S.
• George Z. Fadda, M.D.
• Leslie Karen Fadem, MA
• Golnar Fakhrai, IBCLC
• Family Health Centers of San Diego, Inc (La Mesa Family Dental Clinic)
• Family Health Centers of San Diego, Inc (La Mesa Family Health Center)
• Family Health Centers of San Diego, Inc (East County Wellness Center)
• Family Health Centers of San Diego, Inc. (Grossmont Family Counseling Center)

• Clinic/Center in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.