Retinal Diagnostic Center a Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINAL DIAGNOSTIC CENTER A MEDICAL CORPORATION

Practice address

3395 S. Bascom Ave.
Suite 140
Campbell, CA 95008

Phone

(408) 559-0666

Fax

(408) 963-5920

NPI assigned

Nov 16, 2006

Last updated

Nov 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Kelley

Title

Office Manager

Phone

(408) 559-0666

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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)…

Interoperability endpoints

• Direct secure messaging: lcai@retinaldiagnostic.intellechartdirect.net
• Direct secure messaging: rsyed@retinaldiagnostic.intellechartdirect.net

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Howard H Chen, MD

  • Ophthalmology Physician
  • Campbell, CA
  • NPI 1699763748

  Specialist

  Medicare reassignment Care Compare group NPD
• Clement Chikai Chow, M.D.

  • Ophthalmology Physician
  • Campbell, CA
  • NPI 1265606461
  Medicare reassignment Care Compare group NPD
• Amr L Dessouki, MD

  • Ophthalmology Physician
  • Campbell, CA
  • NPI 1013905389

  Specialist

  Medicare reassignment Care Compare group NPD
• Lingmin He, M.D.

  • Ophthalmology Physician
  • Campbell, CA
  • NPI 1730405184
  Medicare reassignment Care Compare group NPD
• Reema Syed, MD

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1578806972
  Medicare reassignment Care Compare group NPD
• Quan Hoang, MD, PHD

  • Retina Specialist (Ophthalmology) Physician
  • Stanford, CA
  • NPI 1033314257
  Medicare reassignment Care Compare group
• Louis Cai

  • Ophthalmology Physician
  • Campbell, CA
  • NPI 1194220632
  NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1518030568",
    "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": "95008",
            "telephone_number": "408-559-0666",
            "fax_number": "408-963-5920"
        },
        {
            "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": "95008",
            "telephone_number": "408-559-0666",
            "fax_number": "408-963-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINAL DIAGNOSTIC CENTER A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-559-0666"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C370860",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A538890",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G607230",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G838240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawnna Tiffany Reilly, PA-C
• Laura Reinitz, MSW
• Christina Remigio
• Brenda Renteria Cortez
• Katrina Marie Resendez
• Shellie Lee Revilla
• Daissy Reyes Ortiz
• Esbeidy Reyes-Hurtado
• Breanna Reyes
• Isela Jazmin Reyes

• Ophthalmology Physician in Campbell, CA
• Providers in Campbell, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.