Individual provider Active NPI

David M. Hadden, M.D.

  • Specialist
  • Fresno, CA
National Provider Identifier
1851407605
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G16077 Issued in CA
Practice address
5151 N. Palm Avenue
Suite 200
Fresno, CA 93704-2221
Phone
(559) 226-1200
Fax
(559) 226-8432
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G16077 CA Primary

Addresses

Primary practice location

5151 N. Palm Avenue
Suite 200
Fresno, CA 93704-2221

Mailing address

5151 N. Palm Avenue
Suite 200
Fresno, CA 93704-2221
Phone (559) 226-1200

Other identifiers 1

IdentifierTypeStateIssuer
208849MedicaidCA

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

State licenses

LicenseStateTypeSpecialty
G16077CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1851407605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 N. PALM AVENUE",
            "address_2": "SUITE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042221",
            "telephone_number": "559-226-1200",
            "fax_number": "559-226-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N. PALM AVENUE",
            "address_2": "SUITE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042221",
            "telephone_number": "559-226-1200",
            "fax_number": "559-226-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDEN",
        "first_name": "DAVID",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G16077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208849",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.