Individual provider Active NPI

Dianna Rebecca Aliav, OD

  • Optometrist
  • Thousand Oaks, CA
National Provider Identifier
1851079354
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35557 Issued in CA
Practice address
277 Hampshire Rd
Thousand Oaks, CA 91361-2408
Phone
(805) 495-4625
NPI assigned
Jul 6, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35557 CA Primary

Addresses

Primary practice location

277 Hampshire Rd
Thousand Oaks, CA 91361-2408

Mailing address

24301 Bessemer St
Woodland Hills, CA 91367-1110
Phone (818) 570-3170

Other practice location 1

16907 San Fernando Mission Blvd
Granada Hills, CA 91344-4250
Phone (818) 474-2020

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
I20230824003693 CA Practitioner - Optometry 4688037583 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
M. Trinh Optometry Inc Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Ronald L. Goldstein, O.D. Optometrist PastSince Aug 1, 2023 Accepting new patients

Locations

277 Hampshire Rd
Westlake Village, CA 91361
Phone (805) 495-4625

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1851079354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24301 BESSEMER ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913671110",
            "telephone_number": "818-570-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HAMPSHIRE RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913612408",
            "telephone_number": "805-495-4625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16907 San Fernando Mission Blvd",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913444250",
            "country_code": "US",
            "telephone_number": "818-474-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIAV",
        "first_name": "DIANNA",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.