Organization Active NPI

Darush L. Mohyi, M.D., a Professional Corporation

Doing business as IVF La Jolla La Jolla Cosmetic Vein Clinic

  • Obstetrics & Gynecology Physician
  • La Jolla, CA
National Provider Identifier
1275613291
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DARUSH L. MOHYI, M.D., A PROFESSIONAL CORPORATION
Doing business as
IVF La Jolla La Jolla Cosmetic Vein Clinic
Practice address
7724 Fay Ave
La Jolla, CA 92037-4309
Phone
(858) 454-2700
Fax
(858) 454-2782
NPI assigned
Oct 16, 2006
Last updated
Jun 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Mrs. Paula Ortiz
Title
Office Manager
Phone
(858) 454-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

7724 Fay Ave
La Jolla, CA 92037-4309

Mailing address

7724 Fay Ave
La Jolla, CA 92037-4309
Phone (858) 454-2700

Other identifiers 1

IdentifierTypeStateIssuer
1275613291MedicaidCA

Other names 1

  • IVF La Jolla La Jolla Cosmetic Vein Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

7724 Fay Ave
La Jolla, CA 92037
Phone (858) 454-2700

Practitioners & affiliated clinicians

Practitioners 1

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1275613291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7724 FAY AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374309",
            "telephone_number": "858-454-2700",
            "fax_number": "858-454-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7724 FAY AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374309",
            "telephone_number": "858-454-2700",
            "fax_number": "858-454-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARUSH L. MOHYI, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-454-2700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275613291",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVF La Jolla La Jolla Cosmetic Vein Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.