Retina Results Medical Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

RETINA RESULTS MEDICAL CORPORATION

Practice address

16766 Bernardo Center Dr Ste 206
San Diego, CA 92128-2502

Phone

(858) 381-0686

Fax

(858) 365-5189

NPI assigned

Oct 25, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Chirag M Shah, MDNPI 1023472560

Title

Owner

Phone

(858) 381-0686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Chirag M Shah, M.D., MPH

  • Retina Specialist (Ophthalmology) Physician
  • San Diego, CA
  • NPI 1023472560
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1669199238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16766 BERNARDO CENTER DR STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282502",
            "telephone_number": "858-381-0686",
            "fax_number": "858-365-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16766 BERNARDO CENTER DR STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282502",
            "telephone_number": "858-381-0686",
            "fax_number": "858-365-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA RESULTS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-381-0686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Lizette Restrepo
• Katalin Reszegi, PH.D.
• Jennifer Retana, AUD
• Retina Institute of California Medical Group, a California Medical Par
• Retina Institute of California Medical Group, a California Medical Par
• Cathy Sue Reto, PH.D.
• Retrogen Inc
• Tara Alex Retson, PHD, MD
• Returning to You Marriage and Family Therapy
• Ryan Daniel Reusche, M.D.

• Medical Specialty Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.