PERINATAL DIAGNOSTIC CENTER (NPI# 1144389230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144389230 |
| Entity Type | Organization |
| Organization Name | PERINATAL DIAGNOSTIC CENTER |
| Practice Address |
2100 Lynn Rd Ste 125 Thousand Oaks CA 91360-8032 |
| Mailing Address |
Po Box 7448 Thousand Oaks CA 91359-7448 |
| Practice Telephone | 8057777406 |
| Mailing Telephone | 8056439781 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | DR. DARYOUSH JADALI (PRESIDENT) |
| Authorized Official Telephone | 8007777406 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
A48921 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAL LIC | 25MA06354400 | 01 |
| CA | 00A48921 | 05 | |
| NJ | MEDIAL LIC | 1908651 | 01 |
| Street Address |
2100 LYNN RD STE 125 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91360-8032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633953 | Rhandi Walters | Marriage & Family Therapist | 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 | 2020-09-09 |
| 1942709837 | Stephanie Renee Neri | Behavior Technician | 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 | 2018-02-06 |
| 1104340652 | Fernando Antonio Castaneda | Student in an Organized Health Care Education/Training Program | 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360 | 2017-07-26 |
| 1023548989 | Anna Garduno | Specialist/Technologist | 3680 Campus Drive, Thousand Oaks, CA 91360 | 2017-06-14 |
| 1467996306 | Ava Shokoufi | Marriage & Family Therapist | 280 E Thousand Oaks Blvd Suite D, Thousand Oaks, CA 91360 | 2016-12-12 |
| 1649621517 | Sandy Lynn Mcglynn | Social Worker | 460 East Gainsborough Road, Thousand Oaks, CA 91360 | 2016-06-22 |
| 1316363476 | Lorraine Jordan | Family Medicine | 1331 Witherspoon Dr, Thousand Oaks, CA 91360 | 2014-03-13 |
| 1841612033 | Katherine Snyder | Counselor | 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 | 2014-01-08 |
| 1235567397 | Christine Maria Katzenmaier | Speech-Language Pathologist | 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 | 2013-10-28 |
| 1912335233 | Lena Ameripour | Behavioral Analyst | 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 | 2013-10-23 |
| Find all providers in zip 91360 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164593802 | Daryoush Jadali | Obstetrics & Gynecology | 2100 Lynn Rd, Suite 125, Thousand Oaks, CA 91360-1935 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750874 | Dominika Dymarczyk | Obstetrics & Gynecology | 447 Hillcrest Dr, Redwood City, CA 94062-2949 | 2020-11-03 |
| 1710506340 | Delete | Obstetrics & Gynecology | 27008 Pierpont Ct, Santa Clarita, CA 91355-1602 | 2020-04-14 |
| 1386286979 | California Maternal Fetal Medicine Inc | Obstetrics & Gynecology | 1645 Creekside Dr Ste 200, Folsom, CA 95630-3832 | 2019-10-15 |
| 1235697244 | Maternal & Fetal Medicine Center of Southern Calif. Inc | Obstetrics & Gynecology | 17220 Rayen St, Sherwood Forest, CA 91325-2919 | 2019-03-08 |
| 1851892459 | Baychildren's Physicians | Obstetrics & Gynecology | 2970 Camino Diablo Ste 210, Walnut Creek, CA 94597 | 2018-02-28 |
| 1609393537 | James R. Shields, M.d., A Medical Corporation | Obstetrics & Gynecology | 7301 Medical Center Drive, #206, West Hills, CA 91307 | 2017-08-22 |
| 1912447137 | Baychildren's Physicians | Obstetrics & Gynecology | 3000 Colby St Ste 301, Berkeley, CA 94705-2058 | 2017-03-07 |
| 1396145116 | Ginni S. Rosenfeld, Md Inc | Obstetrics & Gynecology | 575 E Hardy St Ste 321, Inglewood, CA 90301-4052 | 2014-08-28 |
| 1801236401 | Ilina Datkhaeva Pluym | Obstetrics & Gynecology | 200 Medical Plaza Dr, Los Angeles, CA 90095-2401 | 2013-06-27 |
| 1003196692 | Los Angeles Perinatal Associates | Obstetrics & Gynecology | 529 E 10th St, 2nd Floor, Long Beach, CA 90813-4508 | 2011-08-26 |
| Find all providers with the same taxonomy | ||||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.