Yarigtnetzilem Diez Gonzalez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14449 TLG Issued in CA

Practice address

19270 Highway 12
Sonoma, CA 95476-5414

Phone

(707) 939-6070

Fax

(707) 939-6078

NPI assigned

Sep 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Sonoma Valley Community Health CenterGroup PAC ID 6800708686, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sonoma Valley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Sonoma, CA
  • NPI 1770669715
  Medicare reassignment Care Compare group NPD
• Sonoma Valley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Sonoma, CA
  • NPI 1427118942
  NPD (past)

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1588913206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19270 HIGHWAY 12",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954765414",
            "telephone_number": "707-939-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19270 HIGHWAY 12",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954765414",
            "telephone_number": "707-939-6070",
            "fax_number": "707-939-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEZ GONZALEZ",
        "first_name": "YARIGTNETZILEM",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14449 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darice Elaine Dekker, LMFT
• Guy Delorefice, M.D.
• William Eastment Dempsey, DDS
• Department of Health Services
• Kristin Devincenzi, DDS
• Cleo Dillon
• Jean Wald Dinaburg, LCSW
• Thomas Michael Dixon, MD
• DMK LLC (Affirmativ Health)
• Dobson Chiropractic, Inc. (Valley Chiropractic)

• Optometrist in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.