Individual provider Active NPI

Karina Delgado

  • Optometrist
  • Riverside, CA
National Provider Identifier
1548985153
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35274-TLG Issued in CA
Practice address
6700 Indiana Ave Ste 155
Riverside, CA 92506-4225
Phone
(951) 682-1600
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 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 35274-TLG CA Primary

Addresses

Primary practice location

6700 Indiana Ave Ste 155
Riverside, CA 92506-4225

Mailing address

3652 E Moonlight St Unit 90
Ontario, CA 91761-2795

Other practice location 1

22500 Town Cir Ste 2108
Moreno Valley, CA 92553-7517
Phone (951) 656-6470

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
I20230112000281 CA Practitioner - Optometry 6002286846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35274CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Suzan Burmayan, O.D., a Professional Corporation Optometrist CurrentSince Jul 21, 2024 Accepting new patients

Locations

120 W Bonita Ave
Ste A
San Dimas, CA 91773
Phone (909) 599-1100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1548985153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 E MOONLIGHT ST UNIT 90",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 INDIANA AVE STE 155",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064225",
            "telephone_number": "951-682-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22500 Town Cir Ste 2108",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925537517",
            "country_code": "US",
            "telephone_number": "951-656-6470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "KARINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35274-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.