Active NPI
Aaron Kwan, O.D.
- Optometrist
- San Mateo, CA
National Provider Identifier
1265845077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14903
- Practice address
- 101 S San Mateo Dr
Suite 310
San Mateo, CA 94401-3819 - Phone
- (408) 807-8540
- NPI assigned
- Jun 9, 2014
- Last updated
- Jun 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14903 | CA | Primary |
Addresses
Primary practice location
101 S San Mateo Dr
Suite 310
San Mateo, CA 94401-3819
Mailing address
20 Kenna CT
Redwood City, CA 94061-3471
Phone (408) 807-8540
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 S San Mateo Dr
Suite 310
San Mateo, CA 94401-3844
Phone (650) 342-7474
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 88.66
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 66.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14903 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Eye Physicians Medical Group,Inc. | Current | Accepting new patients |
Locations
101 S San Mateo Dr
Ste 310
San Mateo, CA 94401
Phone (650) 235-7522
Interoperability endpoints
- akwan272717@hisp.ehr.sutterhealth.org
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- San Mateo, CA
- NPI 1346255064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1265845077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 KENNA CT",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940613471",
"telephone_number": "408-807-8540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S SAN MATEO DR",
"address_2": "SUITE 310",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013819",
"telephone_number": "408-807-8540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAN",
"first_name": "AARON",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.