Individual provider Active NPI

Laila Shiraz Malad, M.D.

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • Westlake Village, CA
National Provider Identifier
1376763565
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X
License
A34464 Issued in CA
Practice address
31225 La Baya Dr
Suite 205
Westlake Village, CA 91362-4019
Phone
(818) 865-8190
Fax
(818) 735-9445
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X A34464 CA Primary

Addresses

Primary practice location

31225 La Baya Dr
Suite 205
Westlake Village, CA 91362-4019

Mailing address

31225 La Baya Drive,
Suite 205
Westlake Village, CA 91362-6325
Phone (818) 865-8190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 23, 2016 through May 23, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34464CAMDLicensed Psychiatric Technician
A34464CAMDDiagnostic Neuroimaging (Psychiatry & Neurology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376763565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31225 LA BAYA DRIVE,",
            "address_2": "SUITE 205",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626325",
            "telephone_number": "818-865-8190",
            "fax_number": "818-735-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31225 LA BAYA DR",
            "address_2": "SUITE 205",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624019",
            "telephone_number": "818-865-8190",
            "fax_number": "818-735-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAD",
        "first_name": "LAILA",
        "middle_name": "SHIRAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "CA",
            "license": "A34464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.