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FADI A. HADDAD, M.D., INC.
NPI 1053590349
Clinic/Center in La Mesa, CA

Active since November 02, 2007
8860 CENTER DR STE 320, LA MESA, CA 91942(619) 376-1904(619) 376-1909 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fadi A. Haddad, M.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FADI A. HADDAD, M.D., INC. (NPI 1053590349) is a healthcare organization registered as a clinic/center in La Mesa, California and active in the NPI registry since November 2007. The organization lists Fadi A. Haddad, President, as its authorized official.

NPPES Registry Identity

NPI1053590349
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFADI A. HADDAD, M.D., INC.
Location Address8860 CENTER DR STE 320La Mesa, CA 91942-7001
Mailing Address8860 Center Dr Ste 320La Mesa, CA 91942-7001 · (619) 376-1904 · Fax (619) 376-1909
Phone(619) 376-1904
Fax(619) 376-1909
Organization SubpartNo
Authorized OfficialFadi A. HaddadPresident · (619) 376-1904
Enumeration DateNovember 2, 2007
Last NPPES UpdateDecember 16, 2021
NPPES CertifiedDecember 16, 2021
✔ NPI 1053590349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
8860 CENTER DR STE 320, La Mesa, CA 91942
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fadi A. Haddad, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Fadi A. Haddad, M.D., Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Fadi Haddad
Infectious Disease
NPI 1689692956
8860 CENTER DR SUITE 320
La Mesa, CA 91942
(619) 376-1904
✔ PECOS✔ Accepts MedicareSame address
Luke Roy, FNP-BC
Nurse Practitioner
NPI 1235696964
5555 GROSSMONT CENTER DR
La Mesa, CA 91942
(619) 740-3058
✔ PECOS0.1 mi
Mandeep Jaggi, NP
Nurse Practitioner
NPI 1609698091
8851 CENTER DR STE 408
La Mesa, CA 91942
(619) 583-1174
✔ PECOS✔ Accepts Medicare0.1 mi
Daniel Krauth, M.D.
Infectious Disease
NPI 1699124347
NAVAL MEDICAL CTR 34800 BOB WILSON DR.
San Diego, CA 92134
(619) 532-6827
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fadi A. Haddad, M.D., Inc.'s NPI number?

The NPI number for Fadi A. Haddad, M.D., Inc. is 1053590349. It was assigned to this organization in the NPPES registry on November 2, 2007.

Where is Fadi A. Haddad, M.D., Inc. located?

Fadi A. Haddad, M.D., Inc. is located at 8860 Center Dr Ste 320, La Mesa, CA 91942. The listed phone number is (619) 376-1904.

What is Fadi A. Haddad, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Fadi A. Haddad, M.D., Inc. enrolled in Medicare?

Yes. Fadi A. Haddad, M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fadi A. Haddad, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Fadi A. Haddad, M.D., Inc., in Infectious Disease and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fadi A. Haddad, M.D., Inc. was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.