Individual provider Active NPI

Ariana Denise Magana, OD

  • Optometrist
  • Lancaster, CA
National Provider Identifier
1235976861
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35794 Issued in CA
Practice address
746 Whitlatch Dr
Lancaster, CA 93535-4776
Phone
(951) 333-7936
NPI assigned
Jul 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35794 CA Primary

Addresses

Primary practice location

746 Whitlatch Dr
Lancaster, CA 93535-4776

Mailing address

746 Whitlatch Dr
Lancaster, CA 93535-4776
Phone (951) 333-7936

Other names 1

  • Ariana Denise Segovia Former 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
I20240723001812 CA Practitioner - Optometry 2163968447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35794CAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Antelope Valley Family Optometry, Inc Optometrist CurrentSince Jul 10, 2024 Accepting new patients

Locations

2720 E Palmdale Blvd
Ste 133
Palmdale, CA 93550
Phone (661) 267-0026

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": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1235976861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 WHITLATCH DR",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354776",
            "telephone_number": "951-333-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 WHITLATCH DR",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354776",
            "telephone_number": "951-333-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANA",
        "first_name": "ARIANA",
        "middle_name": "DENISE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIANA",
            "last_name": "SEGOVIA",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.