Active NPI
Christianne Wa, MD
- Retina Specialist (Ophthalmology) Physician
- Vallejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- A144991
- Practice address
- 1460 N Camino Alto Ste 206
Vallejo, CA 94589-2567 - Phone
- (800) 573-8462
- Fax
- (707) 552-9599
- NPI assigned
- Mar 30, 2015
- Last updated
- Mar 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A144991 | CA | |
| Ophthalmology Physician | 207W00000X | R75586 | AZ | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 4301117014 | MI | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | A144991 | CA | Primary |
Addresses
Primary practice location
1460 N Camino Alto Ste 206
Vallejo, CA 94589-2567
Mailing address
365 Lennon LN Ste 250
Walnut Creek, CA 94598-5915
Phone (800) 573-8462
Other practice location 1
4049 Lone Tree Way Ste Ij
Antioch, CA 94531-6202
Phone (800) 573-8462
Other practice location 2
491 30th St Ste 102
Oakland, CA 94609-3235
Phone (800) 573-8462
Other practice location 3
20130 Lake Chabot Rd Ste 303
Castro Valley, CA 94546-5340
Phone (800) 573-8462
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1460 N Camino Alto
Suite 206
Vallejo, CA 94589-2567
Phone (707) 552-9596
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R75586 | AZ | MD | Ophthalmology Physician |
| A144991 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Retina Associates, Medical Group | Retina Specialist | Current | Accepting new patients |
| Bay Area Retina Associates | Retina Specialist | Current | Accepting new patients |
| Alta Bates Summit Medical Center | Past | Accepting new patients | |
| Capitol Urology Medical Group Inc | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| William Beaumont Hospital | Past | Accepting new patients | |
| Carondelet Health Network | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Vitreo-Retinal Medical Group, Inc. | Ophthalmology | Past | Accepting new patients |
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients | |
| Eden Medical Center/San Leandro Hospital Campus | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Northbay Healthcare Group | Past | Accepting new patients |
Locations
4049 Lone Tree Way
Ste Ij
Antioch, CA 94531
Phone (800) 573-8462
20130 Lake Chabot Rd
Ste 303
Castro Valley, CA 94546
Phone (510) 733-1888
39055 Hastings St
Ste 105
Fremont, CA 94538
Phone (510) 505-1430
491 30th St
Ste 102
Oakland, CA 94609
Phone (510) 832-6554
5980 Stoneridge Dr
Ste 117
Pleasanton, CA 94588
Phone (925) 463-8200
15051 Hesperian Blvd
Ste D
San Leandro, CA 94578
Phone (510) 317-1111
2160 W Grant Line Rd
Ste 240
Tracy, CA 95377
Phone (209) 833-6118
1350 Burton Dr
Ste 210
Vacaville, CA 95687
Phone (707) 359-4642
1460 N Camino Alto
Ste 206
Vallejo, CA 94589
Phone (707) 552-9596
365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- cwa@bayarearetina.intellechartdirect.net
- cwa209396@hisp.ehr.sutterhealth.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 14
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.
-
- Retina Specialist (Ophthalmology) Physician
- Walnut Creek, CA
- NPI 1174557805
-
- Retina Specialist (Ophthalmology) Physician
- San Leandro, CA
- NPI 1083857353
-
dba Merritt Peralta Insititute
- Substance Use Disorder Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1043358542
-
- Medical Specialty Clinic/Center
- Sacramento, CA
- NPI 1053379057
-
dba San Leandro Hospital
- Rehabilitation Hospital Unit
- San Leandro, CA
- NPI 1679523633
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
dba Alta Bates Summit Medical Center - Summit Campus
- Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1194171371
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
-
dba Retinal Consultants Medical Group ,Inc.
- Ophthalmology Physician
- Fairfield, CA
- NPI 1497897532
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Alta Bates Summit Medical Center - Alta Bates Campus
- General Acute Care Hospital
- Berkeley, CA
- NPI 1639523004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1073908976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 LENNON LN STE 250",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945985915",
"telephone_number": "800-573-8462",
"fax_number": "925-943-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 N CAMINO ALTO STE 206",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892567",
"telephone_number": "800-573-8462",
"fax_number": "707-552-9599"
}
],
"practiceLocations": [
{
"address_1": "4049 Lone Tree Way Ste Ij",
"address_purpose": "LOCATION",
"city": "Antioch",
"state": "CA",
"postal_code": "945316202",
"country_code": "US",
"telephone_number": "800-573-8462",
"fax_number": "925-522-8851",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "491 30th St Ste 102",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946093235",
"country_code": "US",
"telephone_number": "800-573-8462",
"fax_number": "510-832-3119",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20130 Lake Chabot Rd Ste 303",
"address_purpose": "LOCATION",
"city": "Castro Valley",
"state": "CA",
"postal_code": "945465340",
"country_code": "US",
"telephone_number": "800-573-8462",
"fax_number": "510-881-5332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WA",
"first_name": "CHRISTIANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A144991",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "R75586",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "MI",
"license": "4301117014",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "CA",
"license": "A144991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.