Fadi George Haddad, M.D.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

C51575 Issued in CA

Practice address

5201 Deer Valley Rd Ste 1E
Antioch, CA 94531-7430

Phone

(925) 350-8855

Fax

(925) 350-8860

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Norcal Pediatric Gastroenterology

  • Pediatric Gastroenterology Physician
  • Walnut Creek, CA
  • NPI 1780119966

  Pediatric Gastroenterology

  NPD Authorized official
• Sutter East Bay Medical Foundation

  • Family Medicine Physician
  • Orinda, CA
  • NPI 1871538769
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982626537",
    "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": "5201 DEER VALLEY RD STE 1E",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317430",
            "telephone_number": "925-350-8855",
            "fax_number": "925-350-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "FADI",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "TX",
            "license": "K4448",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "C51575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C515750",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "C51575",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "450-107-8",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serene H Bratcher
• H. Michael Jaffin, M. D., Inc
• Emily Chhun Ha, PHARMD
• Mursal Habibzadah, PHARMD
• Yordanos Tesfay Habtemariam
• Ryszard Janusz Hajduczek, PT
• Walid Hakimzada
• Gidget Halcon
• Earleesha Hale
• Courtney Hall

• Pediatric Gastroenterology Physician in Antioch, CA
• Providers in Antioch, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.