Individual provider Active NPI

Philip C Diorio, M.D.

  • Pediatric Optometrist
  • Newport Beach, CA
National Provider Identifier
1437425196
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
GFE8238 Issued in CA
Practice address
1059 Granville Dr
Newport Beach, CA 92660-6205
Phone
(949) 720-1821
NPI assigned
Mar 27, 2012
Last updated
Mar 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X GFE8238 CA Primary

Addresses

Primary practice location

1059 Granville Dr
Newport Beach, CA 92660-6205

Mailing address

1059 Granville Dr
Newport Beach, CA 92660-6205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GFE8238CAMDPediatric Optometrist
8238CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1437425196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 GRANVILLE DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 GRANVILLE DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606205",
            "telephone_number": "949-720-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIORIO",
        "first_name": "PHILIP",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "GFE8238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.