| Fadi A. Haddad, M.d., Inc. | |
|
8860 Center Dr Ste 320 La Mesa CA 91942-7001 | |
| (619) 376-1904 | |
| (619) 376-1909 |
| Full Name | Fadi A. Haddad, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8860 Center Dr Ste 320, La Mesa, California |
| Authorized Official Name and Position | Fadi A. Haddad (PRESIDENT) |
| Authorized Official Contact | 6193761904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fadi A. Haddad, M.d., Inc. 8860 Center Dr Ste 320 La Mesa CA 91942-7001 Ph: (619) 376-1904 | Fadi A. Haddad, M.d., Inc. 8860 Center Dr Ste 320 La Mesa CA 91942-7001 Ph: (619) 376-1904 |
| NPI Number | 1053590349 |
|---|---|
| Provider Enumeration Date | 11/02/2007 |
| Last Update Date | 12/16/2021 |
| Medicare PECOS PAC ID | 7719068493 |
|---|---|
| Medicare Enrollment ID | O20080118000700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053590349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Fadi A Haddad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689692956 PECOS PAC ID: 7810993284 Enrollment ID: I20061006000303 |
| Provider Name | Joyce M Mancini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467876771 PECOS PAC ID: 5597087585 Enrollment ID: I20141202001209 |
| Provider Name | Lydia Haro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700403409 PECOS PAC ID: 8729481593 Enrollment ID: I20210730002708 |
| Provider Name | Luke Cody Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235696964 PECOS PAC ID: 1850774845 Enrollment ID: I20220824002498 |
Nadi Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4535 70th St, La Mesa, CA 91942 Phone: 619-750-4962 | |
Shota Gurtch, M.d., Inc., A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8875 La Mesa Blvd Ste C, La Mesa, CA 91942 Phone: 619-668-8100 | |
Michael Andrisani Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 La Mesa Blvd, La Mesa, CA 91941 Phone: 619-469-3822 | |
Mohammed Miradi Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5565 Grossmont Center Dr, Ste 211, La Mesa, CA 91942 Phone: 619-644-1483 | |
Encompass Family And Internal Medicine Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7051 Alvarado Rd, 201, La Mesa, CA 91942 Phone: 619-460-7775 Fax: 858-519-5446 | |
Dap Health-la Mesa Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109 | |
Raed Al-naser, M.d., A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942 Phone: 619-589-9158 Fax: 619-462-0371 |