Individual provider Active NPI

Ali Najafian Jazi, M.D.

  • Psychiatry Physician
  • Agoura Hills, CA
National Provider Identifier
1790105955
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A152431 Issued in CA
Practice address
30101 Agoura CT Ste 204
Agoura Hills, CA 91301-4341
Phone
(805) 889-0709
NPI assigned
Apr 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A152431 CA Primary

Addresses

Primary practice location

30101 Agoura CT Ste 204
Agoura Hills, CA 91301-4341

Mailing address

30101 Agoura CT Ste 204
Agoura Hills, CA 91301-4341
Phone (805) 889-0709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321000687 CA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 8325268857 Reassigns benefits to 1 organization
Practice locations: Agoura Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

30101 Agoura CT
Suite 204
Agoura Hills, CA 91301-4341
Phone (805) 889-0709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A152431CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Based Psychiatry PC Psychiatry CurrentSince Jan 5, 2024 Accepting new patients

Locations

30101 Agoura Ct
Ste 204
Agoura Hills, CA 91301
Phone (805) 889-0709

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1790105955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 204",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014341",
            "telephone_number": "805-889-0709",
            "fax_number": "562-261-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 204",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014341",
            "telephone_number": "805-889-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJAFIAN JAZI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2024-01-04",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A152431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

Verify at the official NPI Registry.