Individual provider Active NPI

Zhaleh Yadollahi, MIDWIFE

  • Midwife
  • Canoga Park, CA
National Provider Identifier
1386947075
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM 273 Issued in CA
Practice address
20800 Sherman Way
Canoga Park, CA 91306-2707
Phone
(818) 618-2561
NPI assigned
Dec 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LM 273 CA Primary

Addresses

Primary practice location

20800 Sherman Way
Canoga Park, CA 91306-2707

Mailing address

24588 Overland Dr
West Hills, CA 91304-6701
Phone (818) 618-2561

Other practice location 1

24588 Overland Dr
West Hills, CA 91304-6701
Phone (818) 618-2561

Other identifiers 1

IdentifierTypeStateIssuer
LM 273OtherCAMEDICAL BOARD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LM 273CAMDMidwife
273CAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1386947075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24588 OVERLAND DR",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913046701",
            "telephone_number": "818-618-2561",
            "fax_number": "818-854-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913062707",
            "telephone_number": "818-618-2561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24588 Overland Dr",
            "address_purpose": "LOCATION",
            "city": "West Hills",
            "state": "CA",
            "postal_code": "913046701",
            "country_code": "US",
            "telephone_number": "818-618-2561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YADOLLAHI",
        "first_name": "ZHALEH",
        "name_prefix": "Mrs.",
        "credential": "MIDWIFE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM 273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "LM 273",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.