Jacob Haiavy, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A69766 Issued in CA

Practice address

8680 Monroe CT
#200
Rancho Cucamonga, CA 91730-4880

Phone

(909) 987-0899

Fax

(909) 987-9399

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Surgical Arts of the Inland Empire Inc.

  dba Surgical Arts Of The Inland Empire

  • Ambulatory Surgical Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1639381783
  Authorized official Same address or phone
• Surgical Group of the Inland Empire

  • Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1376801696
  Authorized official Same address or phone

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1396958047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 MONROE CT.",
            "address_2": "#200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-987-0899",
            "fax_number": "909-987-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 MONROE CT",
            "address_2": "#200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304880",
            "telephone_number": "909-987-0899",
            "fax_number": "909-987-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIAVY",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A69766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ha
• Michael Habashy
• Constance M Haddad, FNP
• Jeffrey A Haga, DO
• Kevin James Hagelis
• Zeinab Haidar
• Kayla Haight
• Edward Haji
• George Philip Hajjar, D.D.S.
• Harriet Haritakis Hajjar, D.D.S.

• Surgery Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.