Diana Isabel Iraheta, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 13168 Issued in CA

Practice address

3080 Victor Ave
Redding, CA 96002-1449

Phone

(530) 222-3166

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Enterprise Optometry Group Inc 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Enterprise Optometry Group Inc.

  • Optometrist
  • Redding, CA
  • NPI 1962052365

  CA, Optometrist

  Medicare reassignment Care Compare group NPD
• Enterprise Optometry Group

  • Optometrist
  • Redding, CA
  • NPI 1811023724
  NPD
• Patrick W Utnehmer, OD a Professional Corporation

  • Optometrist
  • Temecula, CA
  • NPI 1194800896
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1932205226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 VICTOR AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021449",
            "telephone_number": "302-223-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 VICTOR AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021449",
            "telephone_number": "530-222-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRAHETA",
        "first_name": "DIANA",
        "middle_name": "ISABEL",
        "name_prefix": "Mrs.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13168",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 13168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interim Assisted Care of Northern California
• Interim Assisted Care of Northern California
• Interim Assisted Care of Northern California, Inc.
• Interim Healthcare of Northern California
• Interim Healthcare of Northern California
• Steven Irey, PA-C
• Aric Isham
• Andrew Joseph Isola, LMFT
• Katherine Louise Iverson
• J Healing Clinic Occupational Therapy

• All providers in Redding, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.