DR. DARYOUSH JADALI (M.D.) – Maternal & Fetal Medicine Physician, NPI 1164593802

DR. DARYOUSH JADALI (M.D.) is a healthcare provider. based in Thousand oaks, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. A48921 (CA). The NPI Number for DR. DARYOUSH JADALI (M.D.) is 1164593802

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. DARYOUSH JADALI (M.D.)
NPI
1164593802
Phone
(805) 777-7406
Address
2100 LYNN RD
Enumeration Date
13 November 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8056439781
Graduation Year
1990 (36 years ago)
PAC ID
1850721606
Group Practice PAC ID
8527118157
Professional Enrollment ID
I20200527003306
Address ID
CA930032807VE29XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for DR. DARYOUSH JADALI (M.D.)

  • 2100, Lynn Road, Thousand Oaks, Ventura County, California, 91360, United States

    SUITE 125

    THOUSAND OAKS, CA 913601935

    Phone: (805) 777-7406

    Fax: (805) 554-4583

    Type: Location

  • Thousand Oaks Post Office, Grayson Way, Grayson Park, San Antonio, Bexar County, Texas, 78232, United States

    THOUSAND OAKS, CA 913597448

    Phone: (805) 643-9781

    Fax: (800) 564-3878

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-11-28 • Largest payer in this snapshot: Myriad Women's Health, Inc. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-28

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200527003306IObstetrics/GynecologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527118157View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Registered Dietitian Or Nutrition ProfessionalCA

Reviews

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Frequently asked questions

What is the standard ID for DR. DARYOUSH JADALI (M.D.) in the U.S.?
In the U.S., DR. DARYOUSH JADALI (M.D.) is identified by NPI 1164593802.
Is DR. DARYOUSH JADALI (M.D.)'s NPI status active today?
Active status means DR. DARYOUSH JADALI (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. DARYOUSH JADALI (M.D.)?
NPPES ties DR. DARYOUSH JADALI (M.D.) to Maternal & Fetal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. DARYOUSH JADALI (M.D.)?
DR. DARYOUSH JADALI (M.D.) shows a connection to Thousand Oaks, California in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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