NPIMap

Individual provider Active NPI

Yhair Desantiago

  • Optometrist
  • Lancaster, CA
National Provider Identifier
1417735986
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35616 Issued in CA
Practice address
44815 Fig Ave
Lancaster, CA 93534-3144
Phone
(661) 206-8469
Fax
(661) 206-8924
NPI assigned
Sep 18, 2023
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 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 35616 CA Primary

Addresses

Primary practice location

44815 Fig Ave
Lancaster, CA 93534-3144

Mailing address

6201 Hollywood Blvd Unit 4410
Los Angeles, CA 90028-6098
Phone (432) 210-4957

Other practice location 1

6201 Hollywood Blvd Unit 4410
Los Angeles, CA 90028-6098
Phone (432) 210-4957

Other names 1

  • NA NA Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104003015 CA Practitioner - Optometry 6709237613 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

44815 Fig Ave
Lancaster, CA 93534-3144
Phone (661) 206-8469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35616CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc. Optometrist CurrentSince Jan 1, 2024 Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc Optometrist CurrentSince Jan 1, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Jun 27, 2024 Accepting new patients
First Choice Physician Partners Optometrist CurrentSince Jun 27, 2024 Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc Past Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc. Optometrist Past Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc Optometrist Past Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc Optometrist Past Accepting new patients

Locations

10942 Ramona Blvd
Ste A
El Monte, CA 91731
Phone (626) 443-1282

2715 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 581-0120

1760 Termino Ave
Ste 306
Long Beach, CA 90804

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

139 S Alvarado St
Los Angeles, CA 90057
Phone (213) 484-0170

2446 W Whittier Blvd
Montebello, CA 90640
Phone (213) 728-5500

1325 N Rose Dr
Ste 100
Placentia, CA 92870
Phone (714) 729-0103

1520 N Grand Ave
Santa Ana, CA 92701
Phone (714) 558-1193

7100 Van Nuys Blvd
Ste 120
Van Nuys, CA 91405
Phone (818) 988-1111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1417735986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 HOLLYWOOD BLVD UNIT 4410",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286098",
            "telephone_number": "432-210-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44815 FIG AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343144",
            "telephone_number": "661-206-8469",
            "fax_number": "661-206-8924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 Hollywood Blvd Unit 4410",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900286098",
            "country_code": "US",
            "telephone_number": "432-210-4957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESANTIAGO",
        "first_name": "YHAIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NA",
            "last_name": "NA",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.