Individual provider Active NPI

Danya Deiranieh, OD

  • Optometrist
  • San Diego, CA
National Provider Identifier
1336951607
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35891 Issued in CA
Practice address
6755 Mira Mesa Blvd Ste 141
San Diego, CA 92121-4311
Phone
(858) 535-8282
NPI assigned
Jan 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35891 CA Primary

Addresses

Primary practice location

6755 Mira Mesa Blvd Ste 141
San Diego, CA 92121-4311

Mailing address

6755 Mira Mesa Blvd Ste 141
San Diego, CA 92121-4311

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
I20250513000348 CA Practitioner - Optometry 6103343298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

7850 Broadway
Lemon Grove, CA 91945-1801
Phone (619) 697-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35891CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Apr 25, 2025 Accepting new patients
Tony D Pham OD Inc Optometrist CurrentSince Jan 26, 2025 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
John C Pack, O.D. and Beverly Bianes, O.D. Inc Optometrist PastSince Mar 1, 2007 Accepting new patients

Locations

374 E H St
Ste 1708
Chula Vista, CA 91910
Phone (619) 425-7990

890 Eastlake Pkwy
Ste 102
Chula Vista, CA 91914
Phone (619) 216-3937

7090 Parkway Dr
Ste A
La Mesa, CA 91942
Phone (619) 460-2020

7850 Broadway
Lemon Grove, CA 91945
Phone (619) 697-2020

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

6755 Mira Mesa Blvd
Ste 141
San Diego, CA 92121
Phone (858) 535-8282

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1336951607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 MIRA MESA BLVD STE 141",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 MIRA MESA BLVD STE 141",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214311",
            "telephone_number": "858-535-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIRANIEH",
        "first_name": "DANYA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.