Individual provider Active NPI

Arianna Green

  • Optometrist
  • Corona, CA
National Provider Identifier
1972211936
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35346 Issued in CA
Practice address
2205 Vesper Cir Ste 104
Corona, CA 92879-3501
Phone
(951) 520-1212
Fax
(951) 520-1297
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35346 CA Primary

Addresses

Primary practice location

2205 Vesper Cir Ste 104
Corona, CA 92879-3501

Mailing address

2117 E Lincoln Ave
Anaheim, CA 92806-4105
Phone (714) 776-8770

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
I20230123002611 CA Practitioner - Optometry 9537530951 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Alan Arabi OD IncGroup PAC ID 1153612163, 3 clinicians

Practice addresses (Care Compare)

2205 Vesper Cir
Suite 104
Corona, CA 92879-3501
Phone (951) 520-1212

7379 Indiana Ave
Riverside, CA 92504-4547
Phone (951) 684-7822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Loren Rude, O.D., Prof. Corp. Optometrist CurrentSince Dec 21, 2022 Accepting new patients
Fourth Optometric Care of California Optometrist Current Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Feb 7, 2024 Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Feb 7, 2024 Accepting new patients
Ramin Tayani MD Inc CurrentSince Nov 13, 2022 Accepting new patients
Carlos E. Green, O.D., Inc. Optometrist CurrentSince Dec 21, 2022 Accepting new patients
Jan S Lukac MD Inc PastSince Nov 13, 2022 Accepting new patients

Locations

2117 E Lincoln Ave
Anaheim, CA 92806
Phone (714) 776-8770

380 W Central Ave
Ste 300
Brea, CA 92821
Phone (714) 529-9563

328 Redondo Ave
Long Beach, CA 90814
Phone (562) 439-0486

7379 Indiana Ave
Riverside, CA 92504
Phone (951) 477-4732

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ariana.greenod.p1@direct.tayani.nextgenshare.com

Organizations & group practices 8

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": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1972211936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 E LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064105",
            "telephone_number": "714-776-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 VESPER CIR STE 104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793501",
            "telephone_number": "951-520-1212",
            "fax_number": "951-520-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ARIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.