Individual provider Active NPI

Mona Rafatzadeh, OD

  • Optometrist
  • Fontana, CA
National Provider Identifier
1366331845
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35961 Issued in CA
Practice address
8381 Juniper Ave # 100
Fontana, CA 92335-3431
Phone
(909) 429-2020
NPI assigned
Jun 30, 2025
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 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 35961 CA Primary

Addresses

Primary practice location

8381 Juniper Ave # 100
Fontana, CA 92335-3431

Mailing address

8381 Juniper Ave # 100
Fontana, CA 92335-3431
Phone (909) 429-2020

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260105001843 CA Practitioner - Optometry 1759877202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

106 W Colorado Blvd
Pasadena, CA 91105-1925

3082 Hilldale Ave
Simi Valley, CA 93063-2636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fontana Optometric Group, Inc. Optometrist CurrentSince Oct 11, 2025 Accepting new patients

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, 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": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1366331845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8381 JUNIPER AVE # 100",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353431",
            "telephone_number": "909-429-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8381 JUNIPER AVE # 100",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353431",
            "telephone_number": "909-429-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFATZADEH",
        "first_name": "MONA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.