Individual provider Active NPI

Yvette Diaz, OD

  • Optometrist
  • Santee, CA
National Provider Identifier
1285325605
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35424 Issued in CA
Practice address
9727 Mission Gorge Rd
Santee, CA 92071-3809
Phone
(619) 562-5220
Fax
(619) 562-7106
NPI assigned
May 17, 2023
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35424 CA 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

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
I20230707001674 CA Practitioner - Optometry 7416316518 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35424CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Y Diaz Optometric Corporation Optometrist CurrentSince Jun 3, 2025 Accepting new patients
Keddington & Kalra Optometrists Apc Optometrist CurrentSince Jun 21, 2023 Accepting new patients
Keddington & Kalra Optometrists Apc Optometrist CurrentSince Jun 21, 2023 Accepting new patients

Locations

1481 E Plaza Blvd
National City, CA 91950
Phone (619) 477-2159

687 Sweetwater Rd
Spring Valley, CA 91977
Phone (619) 466-9444

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1285325605",
    "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",
            "fax_number": "619-562-7106"
        },
        {
            "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",
            "fax_number": "619-562-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

Verify at the official NPI Registry.