Active NPI
Birdrock
- Clinical Medical Laboratory
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert B Lajvardi, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Birdrock Laboratories
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151203000006 | CA | Part B Supplier - Independent Clinical Laboratory | 3971803594 | Practice locations: San Diego, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- La Mesa, CA
- NPI 1235187568
-
- Occupational Medicine Physician
- La Jolla, CA
- NPI 1962599225
-
- Internal Medicine Physician
- La Jolla, CA
- NPI 1851314413
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.