Healthcare Provider Details

I. General information

NPI: 1831024488
Provider Name (Legal Business Name): NILOUFAR JAFARI O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 S MILLS RD
VENTURA CA
93003-3440
US

IV. Provider business mailing address

21037 DUMETZ RD
WOODLAND HILLS CA
91364-4531
US

V. Phone/Fax

Practice location:
  • Phone: 805-650-3196
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number36204
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: