Individual provider Active NPI

Charmine Dimanlig Trajano, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1699183673
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14993 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
Fax
(888) 539-8781
NPI assigned
Jul 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 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 14993 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

File 57326
Los Angeles, CA 90074-0001

Other practice location 1

890 Eastlake Pkwy Ste 102
Chula Vista, CA 91914-4521
Phone (619) 216-3937

Other practice location 2

9415 Campus Point Dr
LA Jolla, CA 92093-1350
Phone (800) 926-8273

Other practice location 3

16950 Via Tazon
San Diego, CA 92127-1607
Phone (800) 926-8273

Other practice location 4

9350 Campus Point Dr
LA Jolla, CA 92037-1300
Phone (800) 926-8273

Other practice location 5

4060 4th Ave
San Diego, CA 92103-2116
Phone (800) 926-8273

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
I20151222001273 CA Practitioner - Optometry 1658672308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians
Regents of the University of CaliforniaGroup PAC ID 3577476761, 2,047 clinicians

Practice addresses (Care Compare)

11717 Bernardo Plaza CT
Suite 105
San Diego, CA 92128-2419
Phone (858) 487-5555

200 W Arbor Dr
San Diego, CA 92103-1911
Phone (858) 249-6753

9300 Campus Point Dr
La Jolla, CA 92037-1300
Phone (858) 249-6753

9350 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273

9415 Campus Point Dr
La Jolla, CA 92093-1350
Phone (858) 249-6753

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2025 Accepting new patients
Total Vision PC Optometrist CurrentSince Apr 22, 2019 Accepting new patients
Daniel and Davis Optometry, Inc. PastSince May 1, 2005 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
Bonita Point Family Optometry, Inc. Optometrist PastSince Jun 1, 2012 Accepting new patients

Locations

180 Otay Lakes Rd
Ste 201
Bonita, CA 91902
Phone (619) 267-2012

180 Otay Lakes Rd
Bonita, CA 91902
Phone (619) 267-9900

3144 El Camino Real
Ste 202
Carlsbad, CA 92008
Phone (760) 434-3314

890 Eastlake Pkwy
Ste 102
Chula Vista, CA 91914
Phone (619) 216-3937

374 E H St
Chula Vista, CA 91910
Phone (619) 425-7990

374 E H St
Ste 1708
Chula Vista, CA 91910
Phone (619) 425-7990

9415 Campus Point Dr
La Jolla, CA 92093
Phone (619) 543-3000

9350 Campus Point Dr
La Jolla, CA 92037
Phone (858) 657-0583

File 57326
Los Angeles, CA 90074

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

16950 Via Tazon
San Diego, CA 92127
Phone (858) 521-2265

12880 Carmel Country Rd
Ste D110
San Diego, CA 92130
Phone (858) 289-4820

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

4060 4th Ave
San Diego, CA 92103
Phone (619) 298-9931

Organizations & group practices 6

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1699183673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57326",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Eastlake Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919144521",
            "country_code": "US",
            "telephone_number": "619-216-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9415 Campus Point Dr",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920931350",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16950 Via Tazon",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921271607",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9350 Campus Point Dr",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371300",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4060 4th Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032116",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAJANO",
        "first_name": "CHARMINE",
        "middle_name": "DIMANLIG",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.