Issac Haddad M.D., Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A90074 Issued in CA

Legal business name

ISSAC HADDAD M.D., INC

Practice address

2990 E Colorado Blvd
105C
Pasadena, CA 91107-4463

Phone

(626) 793-3700

Fax

(626) 793-3702

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Issac M. Haddad, M.D.NPI 1952453789

Title

President

Phone

(626) 296-6762

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, and the practitioner matching its NPPES authorized official.

• Issac M. Haddad, M.D.

  • Pediatrics Physician
  • Pasadena, CA
  • NPI 1952453789
  NPD (past) Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1851443675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 N HOLLISTON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042546",
            "telephone_number": "626-296-6762",
            "fax_number": "626-296-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 E COLORADO BLVD",
            "address_2": "105C",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074463",
            "telephone_number": "626-793-3700",
            "fax_number": "626-793-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAC HADDAD M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "ISSAC",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-296-6762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A90074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dunia Ismail
• Christian John Ispecky
• Ispine Health Center by Al-Selhi Chiropractic Inc
• Israel Navarro D. D. S., Inc. (Starbright Dental Office)
• Imaan Issa, PHARMD, RPH
• John M. Itamura, MD
• Itano Dentistry
• Alan S K Itano, DDS
• Caitlin Ito, MA, OTR/L
• Ashley Marie Nevin Itzhakian, PH.D.

• Pediatrics Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.