Analyn San Pedro Dizon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13546TLG Issued in CA

Practice address

2580 Old 1St St
Livermore, CA 94550-2055

Phone

(925) 449-8188

NPI assigned

Oct 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Analyn Manumbas San Pedro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Accuvision Eyecare Optometry

  • Optometrist
  • Livermore, CA
  • NPI 1356756464
  NPD (past)

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1851600373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 S BARKER ST",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911473",
            "telephone_number": "510-501-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 OLD 1ST ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945502055",
            "telephone_number": "925-449-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON",
        "first_name": "ANALYN",
        "middle_name": "SAN PEDRO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13546TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANALYN",
            "last_name": "SAN PEDRO",
            "middle_name": "MANUMBAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sonia Dhillon, DDS
• Deepali Dhruve, PHD
• Janelle Marie Abriani Dietler, MPH
• Erika Dittmore
• Diversified Medical Center a
• DME Insurance Solutions LLC
• Anthony DO
• Uyen DO
• Quan Nguyen Doan, PHARM.D.
• Donald R. Sue, DDS, Inc.

• Optometrist in Livermore, CA
• Providers in Livermore, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.