BAY AREA RETINA ASSOCIATES,MEDICAL GROUP (NPI# 1174557805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174557805 |
| Entity Type | Organization |
| Organization Name | BAY AREA RETINA ASSOCIATES,MEDICAL GROUP |
| Practice Address |
122 La Casa Via Suite#223 Walnut Creek CA 94598-3014 |
| Mailing Address |
2219 Buchanan Road Suite#6 Antioch CA 94509-4200 |
| Practice Telephone | 9259436800 |
| Practice Fax Number | 9259436880 |
| Mailing Telephone | 9255228858 |
| Mailing Fax Number | 9255228658 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | ALLEN ZACHARY VERNE (PARTNER) |
| Authorized Official Telephone | 9259436800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0030671 | 05 | |
| CA | GR0030670 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790928067 | Bay Area Retina Associates,medical Group | Ophthalmology | 1460 N Camino Alto Ste 109, Vallejo, CA 94589-2567 | 2009-04-15 |
| 1083857353 | Bay Area Retina Associates,medical Group | Ophthalmology | 15051 Hesperian Blvd Ste D, San Leandro, CA 94578-3536 | 2009-04-15 |
| Street Address |
122 LA CASA VIA SUITE#223 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437134855 | David Robert Demartini | Ophthalmology | 122 La Casa Via, Ste 222, Walnut Creek, CA 94598-3052 | 2005-12-08 |
| 1306293964 | Pacific Retina | Ophthalmology | 122 La Casa Via, #223, Walnut Creek, CA 94598-3052 | 2016-05-24 |
| 1184866584 | Roger A Goldberg | Ophthalmology | 122 La Casa Via, Suite 223, Walnut Creek, CA 94598-3052 | 2009-03-31 |
| 1992889240 | Northern California Cornea Associates Inc | Ophthalmology | 122 La Casa Via, Ste 222, Walnut Creek, CA 94598 | 2006-10-24 |
| 1639103344 | Craig Jann Leong | Ophthalmology | 122 La Casa Via, Suite #223, Walnut Creek, CA 94598-3014 | 2006-07-10 |
| 1043244437 | Tuow Daniel Ting | Ophthalmology | 122 La Casa Via, Suite#223, Walnut Creek, CA 94598-3014 | 2006-07-10 |
| 1124052428 | Stewart Allan Daniels | Ophthalmology | 122 La Casa Via, Ste 223, Walnut Creek, CA 94598-3052 | 2006-07-10 |
| 1578597878 | Subhransu Kumar Ray | Ophthalmology | 122 La Casa Via, Suite#223, Walnut Creek, CA 94598-3014 | 2006-07-10 |
| 1093749491 | Allen Zachary Verne | Ophthalmology | 122 La Casa Via, Suite #223, Walnut Creek, CA 94598-3014 | 2006-07-10 |
| 1659358042 | Lina Chan | Optometrist | 122 La Casa Via, #222, Walnut Creek, CA 94598-3014 | 2005-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031363 | Salehi Retina Institute Inc. | Ophthalmology | 7777 Edinger Ave Ste 234, Huntington Beach, CA 92647-8693 | 2019-09-06 |
| 1669969960 | Vitreo-retinal Medical Group, Inc | Ophthalmology | 1680 E Roseville Pkwy Ste 140, Roseville, CA 95661-3988 | 2018-04-23 |
| 1144733403 | Vitreo-retinal Medical Group Inc | Ophthalmology | 1870 Lassen Blvd Ste B, Yuba City, CA 95993-9455 | 2017-11-08 |
| 1831608264 | Robert Kim | Ophthalmology | 95 Kirkham Avenue, 201, Box 0730, San Francisco, CA 94122 | 2017-09-28 |
| 1538687785 | Thomas Carl Salzano | Ophthalmology | 204 Gainsborough Circle, Folsom, CA 95630 | 2017-09-07 |
| 1992228795 | Central Coast Eye, Inc., A Professional Medical Corporation | Ophthalmology | 628 California Blvd Ste C, San Luis Obispo, CA 93401-2547 | 2017-07-24 |
| 1295013712 | Mukesh Bhogilal Suthar Md Inc | Ophthalmology | 10808 Foothill Blvd Ste 160-203, Rancho Cucamonga, CA 91730-3889 | 2011-08-01 |
| 1790928067 | Bay Area Retina Associates,medical Group | Ophthalmology | 1460 N Camino Alto Ste 109, Vallejo, CA 94589-2567 | 2009-04-15 |
| 1083857353 | Bay Area Retina Associates,medical Group | Ophthalmology | 15051 Hesperian Blvd Ste D, San Leandro, CA 94578-3536 | 2009-04-15 |
| 1942489356 | Ash Pirouz | Ophthalmology | 301 W Bastanchury Rd Ste 285, Fullerton, CA 92835-3432 | 2007-11-01 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.