Active NPI
Shawki Haffar, M.D.
- Psychiatry Physician
- San Pedro, CA
National Provider Identifier
1477601979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G29734
- Practice address
- 150 W 7TH St
San Pedro, CA 90731-3320 - Phone
- (310) 519-6100
- Fax
- (310) 732-5809
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G29734 | CA | Primary |
Addresses
Primary practice location
150 W 7TH St
San Pedro, CA 90731-3320
Mailing address
4653 Mioland Dr
Los Angeles, CA 90043-2034
Phone (323) 383-7122
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Past | Accepting new patients | |
| Pacific Clinics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Irwindale, CA
- NPI 1821495003
-
- Community/Behavioral Health Agency
- Ontario, CA
- NPI 1902273923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477601979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4653 MIOLAND DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900432034",
"telephone_number": "323-383-7122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W 7TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313320",
"telephone_number": "310-519-6100",
"fax_number": "310-732-5809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFFAR",
"first_name": "SHAWKI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G29734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.