Active NPI
Amber Lee Candelaria, OD
- Optometrist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35724
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (800) 926-8273
- Fax
- (888) 539-8781
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35724 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
File 57326
Los Angeles, CA 90074-0001
Other practice location 1
795 E 2nd St
Pomona, CA 91766-2007
Phone (909) 623-6116
Other practice location 2
9415 Campus Point Dr
LA Jolla, CA 92093-1350
Phone (800) 926-8273
Other practice location 3
9350 Campus Point Dr
LA Jolla, CA 92037-1300
Phone (800) 926-8273
Other practice location 4
4060 4th Ave
San Diego, CA 92103-2116
Phone (800) 926-8273
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250805001296 | CA | Practitioner - Optometry | 4880102474 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regents of the University of California
Practice addresses (Care Compare)
200 W Arbor Dr
San Diego, CA 92103-1911
Phone (858) 249-6753
9415 Campus Point Dr
La Jolla, CA 92093-1350
Phone (858) 249-6753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35724 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Optometrist | Current | Accepting new patients |
Locations
9415 Campus Point Dr
La Jolla, CA 92093
Phone (619) 543-3000
9350 Campus Point Dr
La Jolla, CA 92037
Phone (858) 657-0583
File 57326
Los Angeles, CA 90074
4060 4th Ave
San Diego, CA 92103
Phone (619) 298-9931
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
Organizations & group practices 18
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.
-
- Ophthalmology Physician
- San Diego, CA
- NPI 1699877621
CA, Optometrist
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Obstetrics & Gynecology Physician
- San Diego, CA
- NPI 1174626618
-
- Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1225130677
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- San Diego, CA
- NPI 1235232778
-
- Certified Registered Nurse Anesthetist
- San Diego, CA
- NPI 1265535702
-
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
- NPI 1306064126
-
- Plastic Surgery Physician
- San Diego, CA
- NPI 1326141862
-
- Anesthesiology Physician
- San Diego, CA
- NPI 1356444897
-
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
- NPI 1376646869
-
- Pediatrics Physician
- San Diego, CA
- NPI 1386746741
-
- Pulmonary Disease Physician
- San Diego, CA
- NPI 1386762300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1013759117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039000",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781"
}
],
"practiceLocations": [
{
"address_1": "795 E 2nd St",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917662007",
"country_code": "US",
"telephone_number": "909-623-6116",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9415 Campus Point Dr",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920931350",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9350 Campus Point Dr",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371300",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4060 4th Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921032116",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANDELARIA",
"first_name": "AMBER",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.