Individual provider Active NPI

Diana NG, MD

  • Ophthalmology Physician
  • La Jolla, CA
National Provider Identifier
1710112941
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A115695 Issued in CA
Practice address
9834 Genesee Ave Ste 200
Eyecare of la Jolla
La Jolla, CA 92037-1225
Phone
(858) 457-3050
Fax
(858) 457-0851
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A115695 CA Primary
Ophthalmology Physician 207W00000X 251706 NY

Addresses

Primary practice location

9834 Genesee Ave Ste 200
Eyecare of la Jolla
La Jolla, CA 92037-1225

Mailing address

9834 Genesee Ave
Ste 200
La Jolla, CA 92037
Phone (858) 457-3050

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000839 CA Practitioner - Ophthalmology 9032388616

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115695CAMDOphthalmology Physician
251706NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North County Eye Center, Inc. Ophthalmology CurrentSince Oct 1, 2012 Accepting new patients
Scripps Health Past Accepting new patients

Locations

225 E 2nd Ave
Ste 310
Escondido, CA 92025
Phone (760) 738-9985

1582 W San Marcos Blvd
Ste 102
San Marcos, CA 92078
Phone (760) 738-9985

Organizations & group practices 2

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": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1710112941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-457-3050",
            "fax_number": "858-457-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 200",
            "address_2": "EYECARE OF LA JOLLA",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371225",
            "telephone_number": "858-457-3050",
            "fax_number": "858-457-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A115695",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "251706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.