Diane Mosser Hernandez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

08738T Issued in CA

Practice address

1235 Buena Vista St
Duarte, CA 91010-2408

Phone

(626) 359-8145

Fax

(626) 359-4116

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1987

Medicare assignment

May accept Medicare assignment

Group practices

Edward P. and Diane M. HernandezGroup PAC ID 3870536303, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Edward P. & Diane M. Hernandez

  • Optometrist
  • La Puente, CA
  • NPI 1568671774
  Medicare reassignment Care Compare group NPD
• DRS. Edward P. and Diane M. Hernandez, O.D.

  • Optometrist
  • Duarte, CA
  • NPI 1619186848
  NPD Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1326108747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 BUENA VISTA ST",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102408",
            "telephone_number": "626-359-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 BUENA VISTA ST",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102408",
            "telephone_number": "626-359-8145",
            "fax_number": "626-359-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DIANE",
        "middle_name": "MOSSER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "08738T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0087381",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1697023",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Louis Hedberg, MD, PHD
• Marjorie Jen Hein, FNP
• Gregory David Hendrix, PHARMD
• Ananty Yali Hernandez, RN, MSN, FNP-C
• Claudia Yvette Hernandez, M.A.
• Ej Sterrin B Hernandez, NP
• Hetzabel Hernandez, PA-C
• Ida Hernandez
• Levi Paredes Hernandez
• Marielena Hernandez

• Optometrist in Duarte, CA
• Providers in Duarte, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.