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

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: November 01, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Candace Haddock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Children's Medical Group
85 mi
Pediatrics
1524 MCHENRY AVE, SUITE 550
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Valley Childrens Medical Group
  • 387 clinicians in this Medicare group
NPI 1437555265 (559) 353-5010

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

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.

Which organization bills Medicare for Candace Haddock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candace Haddock reassigns Medicare benefits to Valley Children's Medical Group (Modesto, CA). The 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 Candace Haddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.