Individual provider Active NPI

Clement Chikai Chow, M.D.

  • Ophthalmology Physician
  • Campbell, CA
National Provider Identifier
1265606461
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A126226 Issued in CA
Practice address
3395 S Bascom Ave
Suite 140
Campbell, CA 95008-6770
Phone
(408) 559-0666
Fax
(408) 377-0811
NPI assigned
Apr 17, 2008
Last updated
Aug 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A126226 CA Primary

Addresses

Primary practice location

3395 S Bascom Ave
Suite 140
Campbell, CA 95008-6770

Mailing address

3395 S Bascom Ave
Suite 140
Campbell, CA 95008-6770
Phone (408) 559-0666

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
I20130809000533 CA Practitioner - Ophthalmology 4981874401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Wisconsin School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retinal Diagnostic Center a Medical CorporationGroup PAC ID 0143302208, 6 clinicians

Practice addresses (Care Compare)

3395 S Bascom Ave
Suite 140
Campbell, CA 95008-6770
Phone (408) 559-0666

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Retinal Diagnostic Center a Medical Corporation Ophthalmology CurrentSince Jul 15, 2013 Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Hospital Past Accepting new patients
Dignity Health Ophthalmology Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

3301 El Camino Real
Ste 101
Atherton, CA 94027
Phone (650) 257-3861

3395 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 369-8556

7888 Wren Ave
Ste C137
Gilroy, CA 95020
Phone (408) 767-2904

8833 Monterey Rd
Ste D
Gilroy, CA 95020
Phone (669) 500-4955

123 Di Salvo Ave
Ste E
San Jose, CA 95128
Phone (408) 297-3485

200 Jose Figueres Ave
Ste 240
San Jose, CA 95116
Phone (408) 937-0928

1663 Dominican Way
Ste 110A
Santa Cruz, CA 95065
Phone (408) 559-0666

65 Nielson St
Ste 115
Watsonville, CA 95076
Phone (831) 724-2626

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1265606461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 S BASCOM AVE",
            "address_2": "SUITE 140",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086770",
            "telephone_number": "408-559-0666",
            "fax_number": "408-377-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3395 S BASCOM AVE",
            "address_2": "SUITE 140",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086770",
            "telephone_number": "408-559-0666",
            "fax_number": "408-377-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOW",
        "first_name": "CLEMENT",
        "middle_name": "CHIKAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A126226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.