Organization Active NPI

Bay Area Ophthalmic Medical Corporation

  • Ophthalmology Physician
  • San Leandro, CA
National Provider Identifier
1144513805
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BAY AREA OPHTHALMIC MEDICAL CORPORATION
Practice address
276 Dolores Ave
San Leandro, CA 94577-5008
Phone
(510) 614-1515
Fax
(510) 357-6330
NPI assigned
May 27, 2011
Last updated
Jan 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Dr. Chirag R Patel, MDNPI 1922269760
Title
Medical Director/Partner
Phone
(510) 614-1515

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 NU Primary

Addresses

Primary practice location

276 Dolores Ave
San Leandro, CA 94577-5008

Mailing address

276 Dolores Ave
San Leandro, CA 94577-4908
Phone (510) 614-1515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110714000242 CA Part B Supplier - Clinic/Group Practice 8426226655 Receives reassigned benefits from 4 practitioners
Practice locations: Castro Valley, CA; Concord, CA; San Leandro, CA

National Provider Directory

National Provider Directory

Locations

20400 Lake Chabot Rd
Ste 302
Castro Valley, CA 94546
Phone (510) 614-1515

1220 Concord Ave
Ste 290
Concord, CA 94520
Phone (800) 339-2733

1401 Willow Pass Rd
Ste 100
Concord, CA 94520
Phone (510) 614-1515

530 Bush St
Ste 190
San Francisco, CA 94108
Phone (510) 614-1515

276 Dolores Ave
San Leandro, CA 94577
Phone (510) 614-1515

276 Dolores Ave
Ste 300
San Leandro, CA 94577
Phone (800) 339-2733

420 Estudillo Ave
San Leandro, CA 94577
Phone (510) 614-1515

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1144513805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 DOLORES AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774908",
            "telephone_number": "510-614-1515",
            "fax_number": "510-357-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 DOLORES AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775008",
            "telephone_number": "510-614-1515",
            "fax_number": "510-357-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA OPHTHALMIC MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PARTNER",
        "authorized_official_telephone_number": "510-614-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.