Individual provider Active NPI

Diana H. Kersten, M.D.

  • Ophthalmology Physician
  • Laguna Hills, CA
National Provider Identifier
1154387595
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A42878 Issued in CA
Practice address
24401 Calle de la Louisa
Suite 300
Laguna Hills, CA 92653-3623
Phone
(949) 951-2020
Fax
(949) 951-9244
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A42878 CA Primary

Addresses

Primary practice location

24401 Calle de la Louisa
Suite 300
Laguna Hills, CA 92653-3623

Mailing address

24401 Calle de la Louisa
Suite 300
Laguna Hills, CA 92653-3623
Phone (949) 951-2020

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081209000647 CA Practitioner - Ophthalmology 5395793772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.67 of 100Reported as group
Quality
93.87
Promoting interoperability
100
Improvement activities
40
Cost
41.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A42878CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Eye Associates Ophthalmology CurrentSince Jul 1, 1988 Accepting new patients

Locations

23961 Calle de la Magdalena
Ste 300
Laguna Hills, CA 92653
Phone (949) 837-1891

1801 W Olympic Blvd
#2096
Pasadena, CA 91199

665 Camino de los Mares
Ste 102
San Clemente, CA 92673
Phone (714) 493-7330

665 Camino de los Mares
Ste 102103
San Clemente, CA 92673
Phone (949) 951-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1154387595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA",
            "address_2": "SUITE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533623",
            "telephone_number": "949-951-2020",
            "fax_number": "949-951-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA",
            "address_2": "SUITE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533623",
            "telephone_number": "949-951-2020",
            "fax_number": "949-951-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSTEN",
        "first_name": "DIANA",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A42878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.