CANDACE ANDREA HADDOCK NPI 1104380070

NPI Information

  • NPI: 1104380070
  • Provider Name: CANDACE ANDREA HADDOCK
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9300 VALLEY CHILDRENS PL
    MADERA, CA
    ZIP 93636
  • Phone: (559) 353-7290

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NPI Details

Candace Andrea Haddock is a pediatric surgery surgery in Madera, CA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Candace Andrea Haddock NPI is 1104380070. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9300 VALLEY CHILDRENS PL
MADERA, CA
ZIP 93636-761
Phone: (559) 353-7290
Fax: (559) 353-7286

The NPI 1104380070 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/25/2019 and was last updated on 1/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0120XSurgeryPediatric SurgeryA160473CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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