Individual provider Active NPI

Amar R Jariwala, MD MSPH

  • Anatomic Pathology & Clinical Pathology Physician
  • Oceanside, CA
National Provider Identifier
1265843403
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A153035 Issued in CA
Practice address
4002 Vista Way
Oceanside, CA 92056-4506
Phone
(760) 724-8411
NPI assigned
May 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A153035 CA Primary

Addresses

Primary practice location

4002 Vista Way
Oceanside, CA 92056-4506

Mailing address

PO Box 512185
Los Angeles, CA 90051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20250722002267 AZ Practitioner - PathologyPractitioner - Other (Physician) 0648512509 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A153035CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metroplex Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Jun 18, 2025 Accepting new patients
Inform Diagnostics, Inc. Anatomic Pathology & Clinical Pathology PastSince Jan 1, 2021 Accepting new patients
Fulgent Therapeutics LLC PastSince May 19, 2024 Accepting new patients

Locations

4207 E Cotton Center Blvd
Bldg 10
Phoenix, AZ 85040
Phone (602) 648-8900

1111 S Freeport Pkwy
Coppell, TX 75019
Phone (214) 277-8700

Organizations & group practices 3

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": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1265843403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564506",
            "telephone_number": "760-724-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARIWALA",
        "first_name": "AMAR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD MSPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A153035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.