Provider Type Icon

PERINATAL DIAGNOSTIC CENTER NPI 1144389230


NPI Information

NPI: 1144389230
Provider Name: PERINATAL DIAGNOSTIC CENTER
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Organization

Specialization: Maternal & Fetal Medicine

Address:
2100 LYNN RD STE 125
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 777-7406
Get Directions

PERINATAL DIAGNOSTIC CENTER is a maternal and fetal medicine obstetrics gynecology in Thousand Oaks, CA. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. PERINATAL DIAGNOSTIC CENTER NPI is 1144389230. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2100 LYNN RD STE 125
THOUSAND OAKS, CA
ZIP 91360-032
Phone: (805) 777-7406

The provider's authorized official is Daryoush Jadali .
The authorized official title is President and has the following contact phone number (800) 777-7406.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 5/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineA48921CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
125MA06354400OTHERNEW YORKMEDICAL LIC
200A48921MEDICAIDCALIFORNIA
31908651OTHERNEW JERSEYMEDIAL LIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.