Henry Y Upton, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G238030 Issued in CA

Practice address

805 Veterans Blvd
Suite 125
Redwood City, CA 94063-1734

Phone

(650) 368-3937

Fax

(650) 368-0270

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• James E. Tearse, M.D.

  • Ophthalmology Physician
  • Redwood City, CA
  • NPI 1134225840
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285732669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 VETERANS BLVD",
            "address_2": "SUITE 125",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631734",
            "telephone_number": "650-368-3937",
            "fax_number": "650-368-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 VETERANS BLVD",
            "address_2": "SUITE 125",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631734",
            "telephone_number": "650-368-3937",
            "fax_number": "650-368-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPTON",
        "first_name": "HENRY",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G238030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM PIN",
            "identifier": "P00207171",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD TEARSE GROUP",
            "identifier": "ZZZ09989Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM TEARSE GROUP",
            "identifier": "DC7365",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G28030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G23803",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Dwan Underwood
• United Dental
• University Healthcare Alliance
• University of the Pacific Arthur a. Dugoni School of Dentistry
• Upp Group LLC
• Jai Uttam, MD
• Shadi Vahdat, MD
• Viena Vai Vaka, LMFT
• Dorothea J Vakis, RNP
• Frank Dela Cruz Valdez III

• Ophthalmology Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.