Individual provider Active NPI

Ariana Aparicio-Phillips, OD

  • Vision Therapy Optometrist
  • Riverside, CA
National Provider Identifier
1154090736
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
34936TLG Issued in CA
Practice address
6700 Indiana Ave Ste 155
Riverside, CA 92506-4225
Phone
(951) 682-1600
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 34936TLG CA Primary

Addresses

Primary practice location

6700 Indiana Ave Ste 155
Riverside, CA 92506-4225

Mailing address

6700 Indiana Ave Ste 155
Riverside, CA 92506-4225
Phone (951) 682-1600

Other identifiers 1

IdentifierTypeStateIssuer
CB392537MedicaidCA

Other names 1

  • Ariana Aparicio Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211220001908 CA Practitioner - Optometry 7315338761 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34936TLGCAMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ariana Aparicio Phillips, O.D., Corp Optometrist CurrentSince Jun 15, 2023 Accepting new patients
Ariana Aparicio Phillips, O.D., Corp Optometrist PastSince Sep 1, 2021 Accepting new patients

Locations

6700 Indiana Ave
Ste 155
Riverside, CA 92506
Phone (951) 682-1600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1154090736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 INDIANA AVE STE 155",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064225",
            "telephone_number": "951-682-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 INDIANA AVE STE 155",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064225",
            "telephone_number": "951-682-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APARICIO-PHILLIPS",
        "first_name": "ARIANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "34936TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB392537",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIANA",
            "last_name": "APARICIO",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.