Individual provider Active NPI

Shatha Hajja, MD

  • Pediatrics Physician
  • Marrero, LA
National Provider Identifier
1407301690
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A159695 Issued in CA
Practice address
4225 Lapalco Blvd
Marrero, LA 70072-4324
Phone
(504) 842-3900
NPI assigned
Aug 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 341194 LA
Pediatrics Physician 208000000X A159695 CA Primary

Addresses

Primary practice location

4225 Lapalco Blvd
Marrero, LA 70072-4324

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

821 Texas Ave
Los Banos, CA 93635-3453
Phone (866) 682-4842

Other practice location 2

1405 California Ave
Dos Palos, CA 93620-2300
Phone (866) 682-4842

Other practice location 3

7901 Broadway
Elmhurst hospital center
Elmhurst, NY 11373-1329
Phone (718) 737-1075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190731001404 CA Practitioner - Pediatric Medicine 2163758988 Reassigns benefits to 2 organizations
I20240822000421 LA Practitioner - Pediatric Medicine 2163758988 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A159695CAMDPediatrics Physician
341194LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de la Raza Inc CurrentSince Feb 1, 2025 Accepting new patients
Golden Valley Health Center Current Accepting new patients
La Clinica de la Raza Inc CurrentSince Feb 1, 2025 Accepting new patients
Ochsner Clinic LLC Pediatrics CurrentSince Jul 22, 2024 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center CurrentSince Feb 1, 2026 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 22, 2024 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
La Clinica de la Raza Inc Current Accepting new patients
La Clinica de la Raza, Inc. Past Accepting new patients

Locations

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

1515 Fruitvale Ave
Oakland, CA 94601
Phone (510) 535-6300

3451 E 12th St
Fl 2
Oakland, CA 94601
Phone (510) 535-3319

1030 International Blvd
Oakland, CA 94606
Phone (510) 238-5400

3451 E 12th St
Oakland, CA 94601
Phone (510) 535-3319

2021 Main St
Oakley, CA 94561
Phone (925) 776-8200

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

4225 Lapalco Blvd
Marrero, LA 70072
Phone (504) 391-7337

1514 Jefferson Hwy
New Orleans, LA 70121

Organizations & group practices 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1407301690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 LAPALCO BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724324",
            "telephone_number": "504-842-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Texas Ave",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936353453",
            "country_code": "US",
            "telephone_number": "866-682-4842",
            "fax_number": "209-826-0952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 California Ave",
            "address_purpose": "LOCATION",
            "city": "Dos Palos",
            "state": "CA",
            "postal_code": "936202300",
            "country_code": "US",
            "telephone_number": "866-682-4842",
            "fax_number": "209-392-2850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Broadway",
            "address_2": "Elmhurst hospital center",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731329",
            "country_code": "US",
            "telephone_number": "718-737-1075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAJJA",
        "first_name": "SHATHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "341194",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A159695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.