Individual provider Active NPI

Jorge Anthony Cuadros, OD, PHD

  • Optometrist
  • San Jose, CA
National Provider Identifier
1629144126
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6891T Issued in CA
Practice address
678 E. Santa Clara St.
San Jose, CA 95112
Phone
(408) 293-2020
NPI assigned
Nov 27, 2006
Last updated
Aug 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6891T CA Primary

Addresses

Primary practice location

678 E. Santa Clara St.
San Jose, CA 95112

Mailing address

678 E. Santa Clara St.
San Jose, CA 95112
Phone (408) 293-2020

Other names 1

  • Dr. Jorge Anthony Cuadros Professional name

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
I20100826000399 CA Practitioner - Optometry 2567586688 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6891TCAMDOptometrist
6891CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Confermed of California PC CurrentSince Aug 1, 2024 Accepting new patients
Salud Para la Gente CurrentSince Apr 4, 2019 Accepting new patients
Salud Para la Gente CurrentSince Apr 4, 2019 Accepting new patients
Wellspace Health Past Accepting new patients
Confermed PC Past Accepting new patients

Locations

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

195 Aviation Way
Ste 200
Watsonville, CA 95076

204 E Beach St
Watsonville, CA 95076
Phone (831) 763-3413

11 Silver St
Unit 856
Middletown, CT 06457

Organizations & group practices 5

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1629144126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 E. SANTA CLARA ST.",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95112",
            "telephone_number": "408-293-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 E. SANTA CLARA ST.",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95112",
            "telephone_number": "408-293-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUADROS",
        "first_name": "JORGE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "OD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6891T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORGE",
            "last_name": "CUADROS",
            "middle_name": "ANTHONY",
            "prefix": "DR.",
            "credential": "OD, PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.