NPIMap

Organization Active NPI

Bay Area Retina Associates

  • Retina Specialist (Ophthalmology) Physician
  • Walnut Creek, CA
National Provider Identifier
1174557805
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
BAY AREA RETINA ASSOCIATES
Practice address
365 Lennon LN Ste 250
Walnut Creek, CA 94598-5915
Phone
(925) 943-6800
Fax
(925) 943-6880
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Tushar Ranchod, MDNPI 1316003304
Title
Partner
Phone
(925) 943-6800

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
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

365 Lennon LN Ste 250
Walnut Creek, CA 94598-5915

Mailing address

365 Lennon LN Ste 250
Walnut Creek, CA 94598-5915
Phone (925) 943-6800

Other identifiers 2

IdentifierTypeStateIssuer
GR0030671MedicaidCA
GR0030670MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081024000116 CA Part B Supplier - Clinic/Group Practice 8527956580 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Walnut Creek, CA; Vallejo, CA; Fremont, CA; Vacaville, CA; Tracy, CA; San Leandro, CA; Pleasanton, CA; Oakland, CA…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1069402Bay Area Retina Associates365 Lennon Lane, Ste 250, Walnut Creek, CA 94598Certificate of waiverJan 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Retina Associa4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1350 Burton Dr
Vacaville, CA 95687

122 La Casa Via
#3185
Walnut Creek, CA 94598
Phone (925) 943-6800

122 La Casa Via
Ste 23
Walnut Creek, CA 94598

Interoperability endpoints

  • Direct secure messaging: cwa@bayarearetina.intellechartdirect.net
  • Direct secure messaging: rgoldberg@bayarearetina.intellechartdirect.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1174557805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LENNON LN STE 250",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985915",
            "telephone_number": "925-943-6800",
            "fax_number": "925-943-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 LENNON LN STE 250",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985915",
            "telephone_number": "925-943-6800",
            "fax_number": "925-943-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA RETINA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "RANCHOD",
        "authorized_official_first_name": "TUSHAR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "925-943-6800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0030671",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0030670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.