Active NPI
Roy Daniel Ayalon, M.D.
- Gynecology Physician
- Tarzana, CA
National Provider Identifier
1154599546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- A102319
- Practice address
- 18411 Clark St Ste 107
Tarzana, CA 91356-3530 - Phone
- (818) 654-9312
- NPI assigned
- Feb 19, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
- Rehabilitation Hospital Unit
- Corona, CA
- NPI 1255327920
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Icahn School of Medicine at Mount Sinai, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
18411 Clark St
Suite 107
Tarzana, CA 91356-3530
Phone (818) 654-9312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110329000199 | CA | Practitioner - Obstetrics/Gynecology | 0840473880 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102319 | CA | MD | Dentist |
| A102319 | CA | MD | Gynecology Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health System - Southern California | Past | Accepting new patients | |
| Uhs Corona Inc | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Doctors Hospital of Riverside LLC | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBGJBA/Endpoint/JBGJBA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | A102319 | CA | Primary |
Addresses
Primary practice location
18411 Clark St Ste 107
Tarzana, CA 91356-3530
Mailing address
18411 Clark St. #107
Tarzana, CA 91356-3156
Phone (818) 654-9312
NPI Registry JSON
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1154599546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18411 CLARK ST. #107",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563156",
"telephone_number": "818-654-9312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18411 CLARK ST STE 107",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563530",
"telephone_number": "818-654-9312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYALON",
"first_name": "ROY",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-19",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A102319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.