Active NPI
Mariette Demiana Riad, O.D.
- Optometrist
- Simi Valley, CA
National Provider Identifier
1770898496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13822TLG
- Practice address
- 285 Chantilly Cir
Simi Valley, CA 93065-7383 - Phone
- (805) 279-9884
- NPI assigned
- Aug 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 13822TLG | CA | Primary |
Addresses
Primary practice location
285 Chantilly Cir
Simi Valley, CA 93065-7383
Mailing address
800 S Brea Blvd
#708
Brea, CA 92821-5368
Phone (805) 279-9884
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13822TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1770898496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S BREA BLVD",
"address_2": "#708",
"city": "BREA",
"state": "CA",
"postal_code": "928215368",
"telephone_number": "805-279-9884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 CHANTILLY CIR",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930657383",
"telephone_number": "805-279-9884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIAD",
"first_name": "MARIETTE",
"middle_name": "DEMIANA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13822TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.