Active NPI
M Regina De Luna
- Ophthalmology Physician
- San Jose, CA
National Provider Identifier
1144610064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A179602
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
200 Jose Figueres Ave
Suite 350
San Jose, CA 95116-1594
Phone (408) 923-8138
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A179602 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Eye Associates | Ophthalmology | Current | Accepting new patients |
| Advanced Eye Associates | Ophthalmology | Current | 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
- https://fhir4.healow.com/fhir/r4/FCIGBA/Endpoint/FCIGBA
- mdeluna194468@santaclaravalley.direct-ci.net
- 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.
-
- Ophthalmology Physician
- San Jose, CA
- NPI 1972512176
-
- Durable Medical Equipment & Medical Supplies
- San Jose, CA
- NPI 1043345051
Ophthalmology
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Critical Access Hospital
- Delhi, NY
- NPI 1801975156
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.