South Bay Ophthalmology Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A66242 Issued in CA

Legal business name

SOUTH BAY OPHTHALMOLOGY INC

Practice address

2505 Samaritan Dr
Suite 408
San Jose, CA 95124-4006

Phone

(408) 358-5300

Fax

(408) 358-8999

NPI assigned

Jul 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Edward Joseph Saub, M.D.NPI 1447223219

Title

President

Phone

(408) 358-5300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Joseph Saub, M.D.

  • Ophthalmology Physician
  • San Jose, CA
  • NPI 1447223219
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1104139898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 408",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-358-5300",
            "fax_number": "408-358-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 408",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-358-5300",
            "fax_number": "408-358-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY OPHTHALMOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "SAUB",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-358-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A66242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay Home Health Care, LLC
• South Bay House-Call Doctor
• South Bay Housecall Doctor Inc
• South Bay Medical Clinic of San Jose
• South Bay Nephrology Associates, PC
• South Bay Orthopedic and Sports Medicine Clinic, Inc.
• South Bay Paediatrics
• South Bay Pediatrics
• South Bay Respiratory Associates
• South Bay Retina a Medical Corporation

• Ophthalmology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.