Norcal Pediatric Gastroenterology

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

C51575 Issued in CA

Legal business name

NORCAL PEDIATRIC GASTROENTEROLOGY

Practice address

1776 Ygnacio Valley Rd
Ste 108
Walnut Creek, CA 94598-3190

Phone

(925) 939-9200

Fax

(925) 939-9205

NPI assigned

Apr 26, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Fadi George Haddad, M.D.NPI 1982626537

Title

President

Phone

(510) 813-4747

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fadi George Haddad, M.D.

  • Pediatric Gastroenterology Physician
  • Antioch, CA
  • NPI 1982626537

  Pediatric Gastroenterology

  NPD Authorized official

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1780119966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 ROYALL OAKS DR",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469340",
            "telephone_number": "510-813-4747",
            "fax_number": "877-992-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD",
            "address_2": "STE 108",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983190",
            "telephone_number": "925-939-9200",
            "fax_number": "925-939-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCAL PEDIATRIC GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-813-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "C51575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Noorivaziri, D.C.
• Morvarid Noorivaziri, D.C.
• Laura C Jensen Norberg, MM, MT-BC
• Norcal Imaging
• Norcal Imaging - Open MRI of Walnut Creek
• Norcal Urology Medical Group
• Norcal Urology Medical Group
• Darby June Nordin, PT, DPT
• Madison Nordman
• Nordstrom Inc & Subsidiaries

• All providers in Walnut Creek, CA
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.