Individual provider Active NPI

Ayat Azadirad, M.D.

  • Pediatrics Physician
  • Van Nuys, CA
National Provider Identifier
1154593929
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A95715 Issued in CA
Practice address
7232 Van Nuys Blvd
Suite 201
Van Nuys, CA 91405-2231
Phone
(818) 373-4999
Fax
(818) 373-4998
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A95715 CA Primary

Addresses

Primary practice location

7232 Van Nuys Blvd
Suite 201
Van Nuys, CA 91405-2231

Mailing address

7232 Van Nuys Blvd
Suite 201
Van Nuys, CA 91405-2231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A95715CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Presbyterian Hospital Past Accepting new patients
Dignity Health Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1154593929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7232 VAN NUYS BLVD",
            "address_2": "SUITE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7232 VAN NUYS BLVD",
            "address_2": "SUITE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052231",
            "telephone_number": "818-373-4999",
            "fax_number": "818-373-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZADIRAD",
        "first_name": "AYAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A95715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.