Organization Active NPI

Birdrock

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1619367679
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BIRDROCK
Practice address
8430 Juniper Creek LN
San Diego, CA 92126-1074
Phone
(858) 217-5918
Fax
(858) 789-9580
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Dr. Robert B Lajvardi, MDNPI 1235187568
Title
Owner
Phone
(619) 460-7775

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
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8430 Juniper Creek LN
San Diego, CA 92126-1074

Mailing address

8430 Juniper Creek LN
San Diego, CA 92126-1074
Phone (858) 217-5918

Other practice location 1

7035 Bee Caves Rd
Austin, TX 78746-5000
Phone (858) 217-5918

Other names 2

  • Bird Rock Laboratory Doing business as
  • Birdrock Laboratories Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151203000006 CA Part B Supplier - Independent Clinical Laboratory 3971803594 Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

6515 La Jolla Blvd
Ste B
La Jolla, CA 92037
Phone (858) 232-2986

7035 Bee Caves Rd
Ste 207
Austin, TX 78746
Phone (858) 217-5918

7035 Bee Caves Rd
Austin, TX 78746
Phone (858) 217-5918

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1619367679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 JUNIPER CREEK LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921261074",
            "telephone_number": "858-217-5918",
            "fax_number": "858-789-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 JUNIPER CREEK LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921261074",
            "telephone_number": "858-217-5918",
            "fax_number": "858-789-9580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7035 Bee Caves Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787465000",
            "country_code": "US",
            "telephone_number": "858-217-5918",
            "fax_number": "866-789-9580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIRDROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "LAJVARDI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-460-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bird Rock Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Birdrock Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.