Individual provider Active NPI

Janelle Haider, MD

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1699090175
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A100455 Issued in CA
Practice address
1849 Sawtelle Blvd Ste 610
Los Angeles, CA 90025-7013
Phone
(310) 751-0180
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A100455 CA Primary

Addresses

Primary practice location

1849 Sawtelle Blvd Ste 610
Los Angeles, CA 90025-7013

Mailing address

10736 Jefferson Blvd # 614
Culver City, CA 90230-4933
Phone (310) 751-0180

Other practice location 1

8616 La Tijera Blvd Ste 200
Los Angeles, CA 90045-3945
Phone (310) 337-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120326000464 CA Practitioner - PsychiatryPractitioner - NeurologyPractitioner - Neuropsychiatry 1355501537 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100455CAMDClinical Social Worker
A100455CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of California - Department of Developmental Services Current Accepting new patients
State of California - Department of Developmental Services CurrentSince Dec 11, 2023 Accepting new patients
Agnews Community Clinic CurrentSince Dec 11, 2023 Accepting new patients
Mindful Health Solutions a Professional Medical Corporation Psychiatry CurrentSince Jan 15, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Physicians of Southern California Inc Current Accepting new patients
Treo Medical Group CurrentSince Jan 15, 2026 Accepting new patients

Locations

1503 S Coast Dr
Ste 111
Costa Mesa, CA 92626
Phone (714) 206-6868

1849 Sawtelle Blvd
Ste 610
Los Angeles, CA 90025
Phone (310) 919-4853

5455 Wilshire Blvd
Ste 903
Los Angeles, CA 90036
Phone (628) 244-4364

10736 Jefferson Blvd
Los Angeles, CA 90230
Phone (310) 313-0999

26501 Avenue 140
Porterville, CA 93257
Phone (559) 782-2222

12301 Wilshire Blvd
Ste 210
West Los Angeles, CA 90025
Phone (310) 204-1950

Interoperability endpoints

  • Direct secure messaging: janellehaider@tdh.allscriptsdirect.net
  • Direct secure messaging: janelle.haider.1@18698.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1699090175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10736 JEFFERSON BLVD # 614",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304933",
            "telephone_number": "310-751-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 SAWTELLE BLVD STE 610",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257013",
            "telephone_number": "310-751-0180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8616 La Tijera Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900453945",
            "country_code": "US",
            "telephone_number": "310-337-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "JANELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A100455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.