Jila Dayani, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A052716 Issued in CA

Practice address

12626 Riverside Dr #101
Valley Village, CA 91607

Phone

(818) 766-7640

Fax

(818) 752-1748

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730265703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR #101",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "91607",
            "telephone_number": "818-766-7640",
            "fax_number": "818-752-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR #101",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "91607",
            "telephone_number": "818-766-7640",
            "fax_number": "818-752-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYANI",
        "first_name": "JILA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A052716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A052716",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crown Hospice, Inc.
• Dan Dardashti, MD Inc.
• Matthew Daniel, DPM
• Dan E Dardashti, M.D.
• Dawn Marie Davolt, LCSW
• Joann De Virgilio
• Logan Olivia Decoursey
• Mark W Deering, D.D.S.
• Elizabeth Deitz
• Angelica Del Fierro, RDN, CDM

• Pediatrics Physician in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.