Active NPI
Afrouz Gerayli MD Inc
- Internal Medicine Physician
- Camarillo, CA
National Provider Identifier
1295828259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- AFROUZ GERAYLI MD INC
- Practice address
- 500 Paseo Camarillo
#100
Camarillo, CA 93010-5900 - Phone
- (805) 484-1033
- Fax
- (805) 482-7213
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Afouz S Gerayli, MD
- Title
- President
- Phone
- (805) 484-1033
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0996763 | Afrouz Gerayli MD | Certificate of waiver | Feb 25, 2028 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120206000900 | CA | Part B Supplier - Clinic/Group Practice | 8527225309 |
Receives reassigned benefits from 3 practitioners Practice locations: Camarillo, CA |
National Provider Directory
National Provider DirectoryLocations
335 N A St
Oxnard, CA 93030
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
500 Paseo Camarillo
#100
Camarillo, CA 93010-5900
Mailing address
500 Paseo Camarillo
#100
Camarillo, CA 93010-5900
Phone (805) 484-1033
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A703600 | Medicaid | CA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2010.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292889600000",
"number": "1295828259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PASEO CAMARILLO",
"address_2": "#100",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930105900",
"telephone_number": "805-484-1033",
"fax_number": "805-482-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PASEO CAMARILLO",
"address_2": "#100",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930105900",
"telephone_number": "805-484-1033",
"fax_number": "805-482-7213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFROUZ GERAYLI MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2010-12-21",
"status": "A",
"authorized_official_last_name": "GERAYLI",
"authorized_official_first_name": "AFOUZ",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-484-1033",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A703600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.