Ladan Ayatollahi, CNM, RN, MS

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

95067203 Issued in CA

Practice address

8077 Florence Ave Ste 112
Downey, CA 90240-3894

Phone

(562) 904-6031

Fax

(562) 904-6033

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Master of Science, Registered Nurse

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Allsafe Medical Group Inc.

  • Obstetrics & Gynecology Physician
  • Downey, CA
  • NPI 1457596371
  Medicare reassignment NPD

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1790989028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8077 FLORENCE AVE STE 112",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403894",
            "telephone_number": "562-904-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8077 FLORENCE AVE STE 112",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403894",
            "telephone_number": "562-904-6031",
            "fax_number": "562-904-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYATOLLAHI",
        "first_name": "LADAN",
        "name_prefix": "Mrs.",
        "credential": "CNM, RN, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001179",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "95067203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelly Awkar Lazo, M.D
• Jacob Axelrod
• Darlene Ayala
• Manuel Ayala, PHARM.D.
• Marcela Ayala
• Elias I Ayoub, M.D.
• Babak P Azar, MD
• Ava Azimi, M.D.
• Kristina Marie Azucenas Stauffer, RN
• Hirotaka Azuma, OTR/L

• Obstetrics & Gynecology Physician in Downey, CA
• Providers in Downey, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.