Individual provider Active NPI

Gurkarn Ghag

  • Optometrist
  • Santa Clara, CA
National Provider Identifier
1407623192
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35582 Issued in CA
Practice address
770 Scott Blvd
Santa Clara, CA 95050-6927
Phone
(408) 296-0511
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35582 CA Primary

Addresses

Primary practice location

770 Scott Blvd
Santa Clara, CA 95050-6927

Mailing address

770 Scott Blvd
Santa Clara, CA 95050-6927
Phone (408) 296-0511

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228002124 CA Practitioner - Optometry 2961852223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silicon Valley Eyecare Optometry and Contact LensesGroup PAC ID 4385735240, 7 clinicians

Practice addresses (Care Compare)

770 Scott Blvd
Santa Clara, CA 95050-6927
Phone (408) 296-0511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silicon Valley Eyecare Optometry and Contact Lenses Optometrist CurrentSince Dec 13, 2023 Accepting new patients

Locations

770 Scott Blvd
Santa Clara, CA 95050
Phone (408) 296-0511

Interoperability endpoints

  • Direct secure messaging: gurkamg@siliconvalleyeyecare.eyeclinicdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1407623192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 SCOTT BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506927",
            "telephone_number": "408-296-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 SCOTT BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506927",
            "telephone_number": "408-296-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAG",
        "first_name": "GURKARN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.