ALYSSA VALENZUELA OD
NPI 1780302372
Optometrist in San Dimas, CA
About Alyssa Valenzuela Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA VALENZUELA OD (NPI 1780302372) is an individual optometrist in San Dimas, California, licensed in California (35073) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alyssa Valenzuela Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Alyssa Valenzuela reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Dimas, CA 91773
- Reassigned Medicare billing, California enrollment
- 24 clinicians in this Medicare group
Roseville, CA 95661
- Reassigned Medicare billing, California enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91773 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIMAS, CA 91773
SAN DIMAS, CA 91773
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alyssa Valenzuela's NPI number?
The NPI number for Alyssa Valenzuela is 1780302372. It was assigned to this individual provider in the NPPES registry on August 19, 2022.
Where is Alyssa Valenzuela located?
Alyssa Valenzuela practices at 425 W Bonita Ave, San Dimas, CA 91773. The listed phone number is (909) 394-0462.
What is Alyssa Valenzuela's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Alyssa Valenzuela enrolled in Medicare?
Yes. Alyssa Valenzuela is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alyssa Valenzuela's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Valenzuela reassigns Medicare benefits to 2 organizations: Spectrum Eyecare Optometry Inc (San Dimas, CA) and Fyidoctors Of California, Inc. (Roseville, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alyssa Valenzuela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alyssa Valenzuela accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Alyssa Valenzuela as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Alyssa Valenzuela was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Alyssa Valenzuela, OD · NPI 1780302372
Optometrist provider in San Dimas, California. Individual provider, active in the CMS NPPES registry since August 19, 2022.
## Identity
- **NPI:** 1780302372 (Entity type: Individual)
- **Enumerated:** August 19, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 35073 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 425 W BONITA AVE, San Dimas, CA 91773-2541
- **Phone:** (909) 394-0462
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Spectrum Eyecare Optometry Inc (NPI 1801949573, San Dimas, CA); Fyidoctors Of California, Inc. (NPI 1437718418, Roseville, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780302372) · Data from the CMS NPPES public registry.