Active NPI
Robert A Dipietro, OD
- Optometrist
- Paradise, CA
National Provider Identifier
1700930799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5652TPL
- Practice address
- 7056 Skyway
Paradise, CA 95969 - Phone
- (530) 877-2250
- Fax
- (530) 877-1264
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5652TPL | CA | Primary |
Addresses
Primary practice location
7056 Skyway
Paradise, CA 95969
Mailing address
7056 Skyway
Paradise, CA 95969
Phone (530) 877-2250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410014189 | Other | RAILROAD MEDICARE | |
| SD0056520 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5652TPL | CA | MD | Optometrist |
| 5652 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263859200000",
"number": "1700930799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7056 SKYWAY",
"city": "PARADISE",
"state": "CA",
"postal_code": "95969",
"telephone_number": "530-877-2250",
"fax_number": "530-877-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7056 SKYWAY",
"city": "PARADISE",
"state": "CA",
"postal_code": "95969",
"telephone_number": "530-877-2250",
"fax_number": "530-877-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPIETRO",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2010-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5652TPL",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410014189",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0056520",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paradise, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.