Organization Active NPI

Y Diaz Optometric Corporation

Doing business as Santee Vision Care Center Optometry

  • Optometrist
  • Santee, CA
National Provider Identifier
1063305159
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
Y DIAZ OPTOMETRIC CORPORATION
Doing business as
Santee Vision Care Center Optometry
Practice address
9727 Mission Gorge Rd
Santee, CA 92071-3809
Phone
(619) 562-5220
NPI assigned
May 29, 2025
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yvette DiazNPI 1285325605
Title
Owner
Phone
(619) 632-2585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9727 Mission Gorge Rd
Santee, CA 92071-3809

Mailing address

9727 Mission Gorge Rd
Santee, CA 92071-3809
Phone (619) 562-5220

Other names 1

  • Santee Vision Care Center Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260526003523 CA Part B Supplier - Clinic/Group Practice 8022588540 Receives reassigned benefits from 1 practitioner
Practice locations: Santee, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1063305159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713809",
            "telephone_number": "619-562-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713809",
            "telephone_number": "619-562-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y DIAZ OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-632-2585"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santee Vision Care Center Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.