Active NPI
Tina Lee Diehl, O.D
- Optometrist
- Los Angeles, CA
National Provider Identifier
1083944128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11353T
- Practice address
- 10921 Wilshire Blvd
Suite 900
Los Angeles, CA 90024-3906 - Phone
- (310) 208-3937
- Fax
- (310) 208-0169
- NPI assigned
- Jan 13, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 11353T | CA | Primary |
Addresses
Primary practice location
10921 Wilshire Blvd
Suite 900
Los Angeles, CA 90024-3906
Mailing address
10921 Wilshire Blvd
Suite 900
Los Angeles, CA 90024
Phone (310) 208-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11353T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1083944128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10921 WILSHIRE BLVD",
"address_2": "SUITE 900",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90024",
"telephone_number": "310-208-3937",
"fax_number": "310-208-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10921 WILSHIRE BLVD",
"address_2": "SUITE 900",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243906",
"telephone_number": "310-208-3937",
"fax_number": "310-208-0169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEHL",
"first_name": "TINA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-13",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11353T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.