| Candace Andrea Haddock, | |
| 9300 Valley Childrens Pl, Madera, CA 93636-8761 | |
| (559) 353-7290 | |
| (559) 353-7286 | 
| Full Name | Candace Andrea Haddock | 
|---|---|
| Gender | Female | 
| Speciality | Surgery - Pediatric Surgery | 
| Location | 9300 Valley Childrens Pl, Madera, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104380070 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | A160473 (California) | Primary | 
| Entity Name | Valley Childrens Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Candace Andrea Haddock, 9439 N Saybrook Dr Apt 210, Fresno, CA 93720-0636 Ph: (604) 619-2209 | Candace Andrea Haddock, 9300 Valley Childrens Pl, Madera, CA 93636-8761 Ph: (559) 353-7290 | 
| Krista Lynn Shement Lai,  Surgery Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl # Ge01, Madera, CA 93636 Phone: 559-353-7290 | |
| Dr. Shannon Leigh Castle, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl # Sc05, Madera, CA 93636 Phone: 559-353-5700 Fax: 559-353-5708 | |
| Dr. James Pierce, MD Surgery Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl # Ge01, Madera, CA 93636 Phone: 559-353-7290 Fax: 559-353-7286 | |
| Dr. Ghassan Simon Bachir, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 720 E. Almond Ave, Suite 103, Madera, CA 93637 Phone: 559-661-7000 | |
| Mr. Stephen A De Santis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1280 E. Almond Avenue, Madera, CA 93637 Phone: 559-673-9021 Fax: 559-673-0479 | |
| Mohammad Afzal Arain,  Surgery Medicare: Accepting Medicare Assignments Practice Location: 1019 W Yosemite Ave, Madera, CA 93637 Phone: 559-673-8001 Fax: 559-673-8682 |