Danville-San Ramon Eye Medical Corp

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DANVILLE-SAN RAMON EYE MEDICAL CORP

Practice address

909 San Ramon Valley Blvd
Ste 114
Danville, CA 94526-4038

Phone

(925) 837-6428

Fax

(925) 837-1403

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Claudia Susana Pinilla, MDNPI 1598751638

Title

President

Phone

(925) 837-6428

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Roger A Greenwald MD Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 7

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

• Rupinder K Mann, MD

  • Ophthalmology Physician
  • Danville, CA
  • NPI 1770579443
  Medicare reassignment Care Compare group NPD
• Enoch H Nam, MD

  • Cornea and External Diseases Specialist Physician
  • Walnut Creek, CA
  • NPI 1578799037

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Claudia Susana Pinilla, MD

  • Ophthalmology Physician
  • Danville, CA
  • NPI 1598751638
  Medicare reassignment NPD Authorized official
• Wenshan Liu, OD

  • Optometrist
  • Bend, OR
  • NPI 1295162642

  CA

  Medicare reassignment NPD
• Roger A Greenwald, M.D.

  • Ophthalmology Physician
  • Danville, CA
  • NPI 1124223482
  NPD (past)
• Viet Huy Ho, MD

  • Ophthalmology Physician
  • Concord, CA
  • NPI 1417969650
  NPD (past)
• Donald Robert Wolff, MD

  • Ophthalmology Physician
  • Walnut Creek, CA
  • NPI 1821002619
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437146206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SAN RAMON VALLEY BLVD",
            "address_2": "STE 114",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264038",
            "telephone_number": "925-837-6428",
            "fax_number": "925-837-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SAN RAMON VALLEY BLVD",
            "address_2": "STE 114",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264038",
            "telephone_number": "925-837-6428",
            "fax_number": "925-837-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE-SAN RAMON EYE MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PINILLA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "SUSANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-837-6428",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CS4583",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ57540Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0084620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger A Greenwald MD Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Danville Neuropathy Center Inc
• Danville Optometric Eye Clinic (Danville Optometric Group)
• Danville Optometric Group, Inc.
• Danville Pediatric Dentistry and Orthodontics
• Danville Pharmacy Inc (Danville San Ramon Pharmacy)
• Beverly Gregg Davis
• Lauren Davis
• Sylvia Leann Davis
• Harry J Degirolamo, D.M.D.
• Arianna Dela Torre

• Ophthalmology Physician in Danville, CA
• Providers in Danville, 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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.