Active NPI
Merissa Haddad
- Physical Therapist
- Culver City, CA
National Provider Identifier
1922174010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26736
- Practice address
- 3710 Robertson Blvd
Ste 225
Culver City, CA 90232-2350 - Phone
- (310) 837-7849
- Fax
- (310) 838-8454
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26736 | CA | Primary |
Addresses
Primary practice location
3710 Robertson Blvd
Ste 225
Culver City, CA 90232-2350
Mailing address
3710 Robertson Blvd
Ste 225
Culver City, CA 90232-2350
Phone (626) 676-9099
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26736 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922174010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 ROBERTSON BLVD",
"address_2": "STE 225",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902322350",
"telephone_number": "626-676-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 ROBERTSON BLVD",
"address_2": "STE 225",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902322350",
"telephone_number": "310-837-7849",
"fax_number": "310-838-8454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "MERISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "26736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, 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.