Individual provider Active NPI

Enoch H Nam, MD

  • Cornea and External Diseases Specialist Physician
  • Walnut Creek, CA
National Provider Identifier
1578799037
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
A110996 Issued in CA
Practice address
2700 Ygnacio Valley Rd Ste 150
Walnut Creek, CA 94598-3455
Phone
(925) 222-5476
NPI assigned
Jun 10, 2009
Last updated
Feb 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X A110996 CA Primary

Addresses

Primary practice location

2700 Ygnacio Valley Rd Ste 150
Walnut Creek, CA 94598-3455

Mailing address

2700 Ygnacio Valley Rd Ste 150
Walnut Creek, CA 94598-3455
Phone (925) 268-0338

Other practice location 1

11370 Anderson St
Suite 1800
Loma Linda, CA 92354-3450
Phone (909) 558-2154

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130731000401 CA Practitioner - Ophthalmology 6507020104 Reassigns benefits to 5 organizations
Practice locations: Modesto, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danville San Ramon Eye Medical CorpGroup PAC ID 8022005305, 2 clinicians

Practice addresses (Care Compare)

2700 Ygnacio Valley Rd
Suite 150
Walnut Creek, CA 94598-3455
Phone (925) 268-0338

909 San Ramon Valley Blvd
Suite 114
Danville, CA 94526-4038
Phone (925) 837-6428

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northern California Cornea Associates Inc Ophthalmology CurrentSince Aug 15, 2016 Accepting new patients
Danville-San Ramon Eye Medical Corp Ophthalmology CurrentSince Jul 21, 2024 Accepting new patients
Enoch Nam MD Inc Corneal and Contact Management CurrentSince Nov 17, 2024 Accepting new patients
Central Valley Eye Medical Group Inc. Corneal and Contact Management CurrentSince Aug 1, 2019 Accepting new patients
Northern California Cornea Associates.Inc. Ophthalmology Current Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Trauma Physicians Billing Service Ophthalmology CurrentSince Apr 20, 2017 Accepting new patients
Center for Sight, Inc Corneal and Contact Management PastSince Oct 13, 2024 Accepting new patients
Corneal Associates, PC Ophthalmology Past Accepting new patients
Vantage Eyecare, LLC Past Accepting new patients

Locations

909 San Ramon Valley Blvd
Ste 114
Danville, CA 94526
Phone (925) 837-5922

200 Cottage Ave
Ste 102
Manteca, CA 95336
Phone (209) 239-5303

1334 Nelson Ave
Modesto, CA 95350
Phone (209) 524-9904

1421 Oakdale Rd
Fl 2
Modesto, CA 95355
Phone (209) 579-8800

3300 Webster St
Ste 608
Oakland, CA 94609
Phone (510) 444-0603

36 W Yokuts Ave
Ste 1
Stockton, CA 95207
Phone (209) 952-3700

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2700 Ygnacio Valley Rd
Ste 150
Walnut Creek, CA 94598
Phone (925) 222-5476

365 Lennon Ln
Ste 210
Walnut Creek, CA 94598
Phone (925) 944-1100

Interoperability endpoints

  • Direct secure messaging: enam@vec.intellechartdirect.net
  • Direct secure messaging: enam350146@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1578799037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 YGNACIO VALLEY RD STE 150",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983455",
            "telephone_number": "925-268-0338",
            "fax_number": "925-268-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 YGNACIO VALLEY RD STE 150",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983455",
            "telephone_number": "925-222-5476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11370 Anderson St",
            "address_2": "Suite 1800",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543450",
            "country_code": "US",
            "telephone_number": "909-558-2154",
            "fax_number": "909-558-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAM",
        "first_name": "ENOCH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "CA",
            "license": "A110996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.