NPIMap

Organization Active NPI

Jaleh Niazi, M.D., Inc.

Doing business as New Day Pediatrics

  • Primary Care Clinic/Center
  • Berkeley, CA
National Provider Identifier
1518324284
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G79850 Issued in CA
Legal business name
JALEH NIAZI, M.D., INC.
Doing business as
New Day Pediatrics
Practice address
900 Colusa Ave
204
Berkeley, CA 94707-2321
Phone
(510) 465-4445
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Dr. Jaleh Niazi, M.D.NPI 1053300988
Title
President
Phone
(510) 465-4445

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
Primary Care Clinic/Center 261QP2300X G79850 CA Primary

Addresses

Primary practice location

900 Colusa Ave
204
Berkeley, CA 94707-2321

Mailing address

900 Colusa Ave
204
Berkeley, CA 94707-2321
Phone (510) 465-4445

Other identifiers 1

IdentifierTypeStateIssuer
1053300988MedicaidCA

Other names 1

  • New Day Pediatrics 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
05D0963828New Day Pediatrics900 Colusa Ave Ste 204, Berkeley, CA 94707Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory

Locations

900 Colusa Ave
Ste 204
Berkeley, CA 94707
Phone (510) 465-4445

Practitioners & affiliated clinicians

Practitioners 2

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": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1518324284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COLUSA AVE",
            "address_2": "204",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072321",
            "telephone_number": "510-465-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COLUSA AVE",
            "address_2": "204",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072321",
            "telephone_number": "510-465-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JALEH NIAZI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "NIAZI",
        "authorized_official_first_name": "JALEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-465-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G79850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053300988",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Day Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.