Organization Active NPI

Claudio S Contreras MD Inc

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1083796510
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G63436 Issued in CA
Legal business name
CLAUDIO S CONTRERAS MD INC
Practice address
2120 McKee Rd
San Jose, CA 95116-1427
Phone
(408) 971-2020
NPI assigned
Oct 20, 2006
Last updated
Feb 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Dr. Claudio S Contreras, M.D.NPI 1184663387
Title
President-Ceo
Phone
(408) 971-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G63436 CA Primary

Addresses

Primary practice location

2120 McKee Rd
San Jose, CA 95116-1427

Mailing address

2120 McKee Rd
San Jose, CA 95116-1427
Phone (408) 971-2020

Other identifiers 2

IdentifierTypeStateIssuer
P00031038OtherCARAILROAD MEDICARE
00G634360MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100820000439 CA Part B Supplier - Clinic/Group Practice 7618001082 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

2120 McKee Rd
San Jose, CA 95116
Phone (408) 258-8760

25 N 14th St
Ste 720
San Jose, CA 95112
Phone (408) 971-2020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1083796510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MCKEE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161427",
            "telephone_number": "408-971-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MCKEE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161427",
            "telephone_number": "408-971-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDIO S CONTRERAS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "CLAUDIO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "408-971-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G63436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00031038",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G634360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.