Organization Active NPI

Laila Niazi MD a Professional Corporation

Doing business as Thousand Oaks Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Newbury Park, CA
National Provider Identifier
1720586225
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
A91451 Issued in CA
Legal business name
LAILA NIAZI MD A PROFESSIONAL CORPORATION
Doing business as
Thousand Oaks Pediatrics
Practice address
1000 Newbury Rd Ste 100
Newbury Park, CA 91320-6436
Phone
(805) 480-3730
Fax
(805) 480-1951
NPI assigned
Jan 30, 2018
Last updated
Jan 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Dr. Laila Niazi, MDNPI 1558372508
Title
Physician-Director
Phone
(805) 480-3730

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
Pediatric Adolescent Medicine Physician 2080A0000X A91451 CA Primary

Addresses

Primary practice location

1000 Newbury Rd Ste 100
Newbury Park, CA 91320-6436

Mailing address

1000 Newbury Rd Ste 100
Newbury Park, CA 91320-6436
Phone (805) 480-3730

Other names 1

  • Thousand Oaks 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
05D0559734Thousand Oaks Pediatrics1000 Newbury Road #200, Newbury Park, CA 91320Provider-performed microscopyApr 30, 2027

National Provider Directory

National Provider Directory

Locations

1000 Newbury Rd
Ste 200
Newbury Park, CA 91320
Phone (805) 480-3730

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": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1720586225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 100",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206436",
            "telephone_number": "805-480-3730",
            "fax_number": "805-480-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 100",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206436",
            "telephone_number": "805-480-3730",
            "fax_number": "805-480-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAILA NIAZI MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "NIAZI",
        "authorized_official_first_name": "LAILA",
        "authorized_official_title_or_position": "PHYSICIAN-DIRECTOR",
        "authorized_official_telephone_number": "805-480-3730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A91451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thousand Oaks Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.