Individual provider Active NPI

Amr L Dessouki, MD

  • Ophthalmology Physician
  • Campbell, CA
National Provider Identifier
1013905389
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
453889 Issued in CA
Practice address
3395 S Bascom Ave Ste 140
Campbell, CA 95008-6770
Phone
(408) 559-0666
Fax
(408) 377-0811
NPI assigned
Oct 11, 2005
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 453889 CA Primary

Addresses

Primary practice location

3395 S Bascom Ave Ste 140
Campbell, CA 95008-6770

Mailing address

3395 S Bascom Ave Ste 140
Campbell, CA 95008-6770
Phone (408) 559-0666

Other identifiers 1

IdentifierTypeStateIssuer
00A538890MedicaidCA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110906000030 CA Practitioner - Ophthalmology 0648440412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retinal Diagnostic Center a Medical CorporationGroup PAC ID 0143302208, 6 clinicians

Practice addresses (Care Compare)

3395 S Bascom Ave
Suite 140
Campbell, CA 95008-6770
Phone (408) 559-0666

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
453889CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retinal Diagnostic Center a Medical Corporation Specialist CurrentSince Jul 8, 2002 Accepting new patients
Retina Associates PA Ophthalmology Past Accepting new patients
County of Santa Clara Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
El Camino Hospital Past Accepting new patients
Dignity Health Ophthalmology Past Accepting new patients
Forest Medical Group, Inc. Specialist Past Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Locations

3301 El Camino Real
Ste 101
Atherton, CA 94027
Phone (650) 257-3861

3395 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 369-8556

3803 S Bascom Ave
Ste 104
Campbell, CA 95008
Phone (408) 559-0666

8833 Monterey Rd
Ste D
Gilroy, CA 95020
Phone (669) 500-4955

123 Di Salvo Ave
Ste E
San Jose, CA 95128
Phone (408) 297-1191

200 Jose Figueres Ave
Ste 240
San Jose, CA 95116
Phone (408) 937-0928

1663 Dominican Way
Ste 110A
Santa Cruz, CA 95065
Phone (408) 559-0666

65 Nielson St
Ste 115
Watsonville, CA 95076
Phone (831) 724-2626

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1013905389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 S BASCOM AVE STE 140",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086770",
            "telephone_number": "408-559-0666",
            "fax_number": "408-377-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3395 S BASCOM AVE STE 140",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086770",
            "telephone_number": "408-559-0666",
            "fax_number": "408-377-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSOUKI",
        "first_name": "AMR",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "453889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A538890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.