Organization Active NPI

Jarvandi Pediatric and Nutrition Center, LLC

  • Pediatrics Physician
  • Fairfax, VA
National Provider Identifier
1447964184
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
JARVANDI PEDIATRIC AND NUTRITION CENTER, LLC
Practice address
3700 Joseph Siewick Dr Ste 301
Fairfax, VA 22033-1739
Phone
(703) 774-7577
NPI assigned
Jan 9, 2023
Last updated
Jan 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Dr. Mohammad Jarvandi, MDNPI 1609814383
Title
Owner/Physician
Phone
(703) 774-7577

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3700 Joseph Siewick Dr Ste 301
Fairfax, VA 22033-1739

Mailing address

5501 Merchants View SQ # 137
Haymarket, VA 20169-5439
Phone (703) 774-7577

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http:/app.drchrono.com Health Information Exchange (HIE)

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
49D2274830Jarvandi Pediatric and Nutrition Center3700 Joseph Siewick Dr, Suite 301, Fairfax, VA 22033Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory

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": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1447964184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 MERCHANTS VIEW SQ # 137",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201695439",
            "telephone_number": "703-774-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 JOSEPH SIEWICK DR STE 301",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331739",
            "telephone_number": "703-774-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARVANDI PEDIATRIC AND NUTRITION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-08",
        "status": "A",
        "authorized_official_last_name": "JARVANDI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "703-774-7577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http:/app.drchrono.com",
            "affiliation": "N",
            "endpointDescription": "Our system will use all in one EHR/EMR by Dr Chrono",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3700 Joseph Siewick Dr Ste 301",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.