Organization Active NPI

Haitham Jifi-Bahlool

  • Primary Care Clinic/Center
  • Corpus Christi, TX
National Provider Identifier
1407082225
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
J9719 Issued in TX
Legal business name
HAITHAM JIFI-BAHLOOL
Practice address
5920 Saratoga Blvd
Corpus Christi, TX 78414-4103
Phone
(361) 991-0112
Fax
(361) 991-0181
NPI assigned
Jun 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Haitham Jifi, MD
Title
MD
Phone
(361) 991-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X J9719 TX Primary

Addresses

Primary practice location

5920 Saratoga Blvd
Corpus Christi, TX 78414-4103

Mailing address

5920 Saratoga Blvd
Corpus Christi, TX 78414-4103
Phone (361) 991-0112

Other identifiers 1

IdentifierTypeStateIssuer
120623704MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1407082225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144103",
            "telephone_number": "361-991-0112",
            "fax_number": "361-991-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144103",
            "telephone_number": "361-991-0112",
            "fax_number": "361-991-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAITHAM JIFI-BAHLOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "JIFI",
        "authorized_official_first_name": "HAITHAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "361-991-0112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J9719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120623704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.