Active NPI
Christina Jawad Haddad, PHARMD
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1396257754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76050
- Practice address
- 12315 Venice Blvd
Los Angeles, CA 90066-3801 - Phone
- (310) 390-6296
- Fax
- (310) 390-6296
- NPI assigned
- Oct 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 76050 | CA | Primary |
Addresses
Primary practice location
12315 Venice Blvd
Los Angeles, CA 90066-3801
Mailing address
12315 Venice Blvd
Los Angeles, CA 90066-3801
Phone (310) 390-6296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76050 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1396257754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12315 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900663801",
"telephone_number": "310-390-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12315 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900663801",
"telephone_number": "310-390-6296",
"fax_number": "310-390-6296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "CHRISTINA",
"middle_name": "JAWAD",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-25",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "76050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.