Organization Active NPI

Ghassan Hadi MD Inc

  • Internal Medicine Physician
  • Upland, CA
National Provider Identifier
1174659064
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A52261 Issued in CA
Legal business name
GHASSAN HADI MD INC
Practice address
1060 E Foothill Blvd
Suite 103
Upland, CA 91786-4027
Phone
(909) 981-8904
Fax
(909) 981-8943
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Dr. Ghassan Hadi, MDNPI 1558497891
Title
President
Phone
(909) 981-8904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A52261 CA Primary

Addresses

Primary practice location

1060 E Foothill Blvd
Suite 103
Upland, CA 91786-4027

Mailing address

2352 Del Marino
PO.O.Box 279
La Verne, CA 91750-1106
Phone (909) 981-8904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081008000092 CA Part B Supplier - Clinic/Group Practice 7618045386 Receives reassigned benefits from 4 practitioners
Practice locations: Upland, CA; Claremont, CA; Pomona, CA

National Provider Directory

National Provider Directory

Locations

660 Avery Rd
Claremont, CA 91711
Phone (909) 621-9581

800 E 5th St
Ontario, CA 91764
Phone (909) 984-1620

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1174659064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 DEL MARINO",
            "address_2": "PO.O.BOX 279",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917501106",
            "telephone_number": "909-981-8904",
            "fax_number": "909-981-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E FOOTHILL BLVD",
            "address_2": "SUITE 103",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864027",
            "telephone_number": "909-981-8904",
            "fax_number": "909-981-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHASSAN HADI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "HADI",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-981-8904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.