Organization Active NPI

Roy D Ayalon, MD., Inc

  • Obstetrics & Gynecology Physician
  • Tarzana, CA
National Provider Identifier
1578854808
Registry record updated Jul 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A102319 Issued in CA
Legal business name
ROY D AYALON, MD., INC
Practice address
18411 Clark St Ste 107
Tarzana, CA 91356-3530
Phone
(818) 654-9312
Fax
(818) 654-9631
NPI assigned
Apr 20, 2011
Last updated
Jul 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2011

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

Authorized official

Name
Dr. Roy D Ayalon, MDNPI 1154599546
Title
OB/GYN
Phone
(818) 654-9312

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
Obstetrics & Gynecology Physician 207V00000X A102319 CA Primary

Addresses

Primary practice location

18411 Clark St Ste 107
Tarzana, CA 91356-3530

Mailing address

18411 Clark St
Tarzana, CA 91356-3506
Phone (818) 654-9312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110609000413 CA Part B Supplier - Clinic/Group Practice 4880871359 Receives reassigned benefits from 1 practitioner
Practice locations: Tarzana, CA

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
05D2033847Roy D Ayalon, MD Inc18411 Clark St Ste 107, Tarzana, CA 91356Provider-performed microscopyDec 11, 2027

National Provider Directory

National Provider Directory

Locations

18411 Clark St
Tarzana, CA 91356
Phone (818) 437-8105

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": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312070400000",
    "number": "1578854808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563506",
            "telephone_number": "818-654-9312",
            "fax_number": "818-654-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST STE 107",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563530",
            "telephone_number": "818-654-9312",
            "fax_number": "818-654-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY D AYALON, MD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-07-31",
        "status": "A",
        "authorized_official_last_name": "AYALON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OB/GYN",
        "authorized_official_telephone_number": "818-654-9312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A102319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.