NPIMap

Organization Active NPI

Perinatal Diagnostic Center

  • Maternal & Fetal Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1144389230
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A48921 Issued in CA
Legal business name
PERINATAL DIAGNOSTIC CENTER
Practice address
2100 Lynn Rd Ste 125
Thousand Oaks, CA 91360-8032
Phone
(805) 777-7406
NPI assigned
Dec 6, 2006
Last updated
May 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daryoush Jadali, M.D.NPI 1164593802
Title
President
Phone
(800) 777-7406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X A48921 CA Primary

Addresses

Primary practice location

2100 Lynn Rd Ste 125
Thousand Oaks, CA 91360-8032

Mailing address

PO Box 7448
Thousand Oaks, CA 91359-7448
Phone (805) 643-9781

Other identifiers 3

IdentifierTypeStateIssuer
00A48921MedicaidCA
1908651OtherNJMEDIAL LIC
25MA06354400OtherNYMEDICAL LIC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1144389230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7448",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913597448",
            "telephone_number": "805-643-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD STE 125",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608032",
            "telephone_number": "805-777-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERINATAL DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "JADALI",
        "authorized_official_first_name": "DARYOUSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-777-7406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A48921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A48921",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIAL LIC",
            "identifier": "1908651",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "25MA06354400",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.