CANDACE ANDREA HADDOCK
NPI 1104380070
Surgery - Pediatric Surgery in Madera, CA

Q: What is Candace Haddock's NPI number?

The NPI number for Candace Haddock is 1104380070. It was assigned to this individual provider in the NPPES registry on January 25, 2019.

Q: What is Candace Haddock's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Candace Haddock was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 25, 2019PECOS Enrolled

9300 VALLEY CHILDRENS PL, MADERA, CA 93636(559) 353-7290(559) 353-7286 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Candace Andrea Haddock NPPES

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

CANDACE ANDREA HADDOCK (NPI 1104380070) is an individual pediatric surgery provider in Madera, California, licensed in California (A160473) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104380070

Entity TypeIndividualFemale

Primary Taxonomy2086S0120X

Provider Legal NameCANDACE ANDREA HADDOCK

Location Address9300 VALLEY CHILDRENS PLMadera, CA 93636-8761

Mailing Address9439 N Saybrook Dr Apt 210Fresno, CA 93720-0636 · (604) 619-2209

Phone(559) 353-7290

Fax(559) 353-7286

Sole ProprietorYes

Enumeration DateJanuary 25, 2019

✔ NPI 1104380070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in CA · A160473

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

9300 VALLEY CHILDRENS PL, Madera, CA 93636

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candace Andrea Haddock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENISE L. HAMAN PT

Physical Therapist (Pediatrics)

9300 VALLEY CHILDRENS PL
MADERA, CA 93636

Madera County (559) 353-6800

WILLIAM ARTHUR KOOLE JR. PHARM.D.

Pharmacist

9300 VALLEY CHILDRENS PL
MADERA, CA 93636

Madera County (559) 353-5559

KRISTIN VAN HORN

Occupational Therapist

9300 VALLEY CHILDRENS PL
MADERA, CA 93636

Madera County (559) 353-3000

RACHEL GARCIA-WALKER

Social Worker (Clinical)

9300 VALLEY CHILDRENS PL
MADERA, CA 93636

Madera County (559) 353-3000

DR. KATHERINE DANIELLE SHAH MD

Student in an Organized Health Care Education/Training Program

9300 VALLEY CHILDRENS PL
MADERA, CA 93636

Madera County (559) 353-5168

DR. MEERA RAMAYYA MD

Pediatrics (Pediatric Endocrinology)

9300 VALLEY CHILDRENS PL, MB23
MADERA, CA 93636

Madera County (559) 353-6600

DR. WHITNEY LYN KALIN M.D.

Pediatrics

9300 VALLEY CHILDRENS PL
MADERA, CA 93636

Madera County (559) 353-5700

PAMELA REBECCA MARSH PNP-BC

Nurse Practitioner (Pediatrics)

9300 VALLEY CHILDRENS PL
MADERA, CA 93636

Madera County (559) 801-1997

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 Candace Haddock's NPI number?

The NPI number for Candace Haddock is 1104380070. It was assigned to this individual provider in the NPPES registry on January 25, 2019.

Where is Candace Haddock located?

Candace Haddock practices at 9300 Valley Childrens Pl, Madera, CA 93636. The listed phone number is (559) 353-7290.

What is Candace Haddock's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Candace Haddock enrolled in Medicare?

Yes. Candace Haddock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Candace Haddock was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.