Individual provider Active NPI

M Regina De Luna

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1144610064
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A179602 Issued in CA
Practice address
200 Jose Figueres Ave Ste 350
San Jose, CA 95116-1594
Phone
(408) 923-8138
NPI assigned
Jan 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X A179602 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave Ste 350
San Jose, CA 95116-1594

Mailing address

200 Jose Figueres Ave Ste 350
San Jose, CA 95116-1594
Phone (408) 923-8138

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@aeadoctors.com

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
I20220318001425 CA Practitioner - Ophthalmology 7911392477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye AssociatesGroup PAC ID 1052386760, 3 clinicians

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 350
San Jose, CA 95116-1594
Phone (408) 923-8138

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A179602CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Associates Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
Advanced Eye Associates Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
County of Santa Clara Past Accepting new patients
O'Connor Hospital Past Accepting new patients
County of Santa Clara Ophthalmology Past Accepting new patients

Locations

200 Jose Figueres Ave
Ste 350
San Jose, CA 95116
Phone (408) 923-8138

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCIGBA/Endpoint/FCIGBA
  • Direct secure messaging: mdeluna194468@santaclaravalley.direct-ci.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCIGBA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1144610064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 350",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161594",
            "telephone_number": "408-923-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 350",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161594",
            "telephone_number": "408-923-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LUNA",
        "first_name": "M REGINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A179602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@aeadoctors.com",
            "affiliation": "N",
            "address_1": "200 Jose Figueres Ave Ste 350",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951161594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.