Organization Active NPI

Foyouzi Reproductive Genetic Medical Corporation

  • Reproductive Endocrinology Physician
  • La Jolla, CA
National Provider Identifier
1366296204
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
FOYOUZI REPRODUCTIVE GENETIC MEDICAL CORPORATION
Practice address
8950 Villa la Jolla Dr Ste B225
La Jolla, CA 92037-1709
Phone
(203) 907-6910
NPI assigned
Apr 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Nastaran Foyouzi-Yousefi, MDNPI 1689843989
Title
Ceo and Founder
Phone
(203) 907-6910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SG0201X
Reproductive Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VE0102X Primary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X

Addresses

Primary practice location

8950 Villa la Jolla Dr Ste B225
La Jolla, CA 92037-1709

Mailing address

1371 Caminito Balada
La Jolla, CA 92037-7184
Phone (203) 907-6910

Other names 1

  • Southern California Fertility Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2328807Southern California Fertility Center (SCFC)8950 Villa la Jolla Drive, Ste B225, La Jolla, CA 92037Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory

Locations

8950 Villa La Jolla Dr
Ste B225
La Jolla, CA 92037
Phone (203) 907-6910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1366296204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 CAMINITO BALADA",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377184",
            "telephone_number": "203-907-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE B225",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371709",
            "telephone_number": "203-907-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOYOUZI REPRODUCTIVE GENETIC MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "FOYOUZI-YOUSEFI",
        "authorized_official_first_name": "NASTARAN",
        "authorized_official_title_or_position": "CEO AND FOUNDER",
        "authorized_official_telephone_number": "203-907-6910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern California Fertility Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern California Fertility Center",
            "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 May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.