Daryoush Jadali, M.D.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

A48921 Issued in CA

Practice address

2100 Lynn Rd
Suite 125
Thousand Oaks, CA 91360-1935

Phone

(805) 777-7406

Fax

(805) 554-4583

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Obstetrix Medical Group of the Central Coast Professional CorporationGroup PAC ID 8527118157, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Obstetrix Medical Group of the Central Coast Professional Corporation

  • Maternal & Fetal Medicine Physician
  • Orange, CA
  • NPI 1790970416
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164593802",
    "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",
            "fax_number": "800-564-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD",
            "address_2": "SUITE 125",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601935",
            "telephone_number": "805-777-7406",
            "fax_number": "805-554-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADALI",
        "first_name": "DARYOUSH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "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"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack C Chang, DDS Inc
• Jack Shenouda MD Corp
• Jacob & Henein a Medical Corporation
• Christina N Jacob, M.D.
• Cynthia A Jacobson, CRNA, MS
• Jaesung Lee
• Sharon Shahnaz Jafari, NP
• Denise Ann Jaffe, NP
• Jessica Jaffe, D.C.
• Emily Anne Jahnke, AU.D.

• Maternal & Fetal Medicine Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Maternal & Fetal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.