Individual provider Active NPI

Caesar Kyle Luo, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Walnut Creek, CA
National Provider Identifier
1669684072
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
C148441 Issued in CA
Practice address
365 Lennon LN Ste 250
Walnut Creek, CA 94598-5915
Phone
(925) 943-6800
Fax
(925) 943-6880
NPI assigned
May 6, 2007
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 148441 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X C148441 CA Primary

Addresses

Primary practice location

365 Lennon LN Ste 250
Walnut Creek, CA 94598-5915

Mailing address

365 Lennon LN Ste 250
Walnut Creek, CA 94598-5915
Phone (925) 943-6800

Other practice location 1

491 30th St Ste 102
Oakland, CA 94609-3235
Phone (510) 832-6554

Other practice location 2

1460 N Camino Alto Ste 206
Vallejo, CA 94589-2567
Phone (707) 552-9596

Other practice location 3

2219 Buchanan Rd Ste 6
Antioch, CA 94509-4200
Phone (925) 522-8850

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
I20170828002425 CA Practitioner - Ophthalmology 9335273077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Rochester School of Medicine and Dentistry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Retina AssociatesGroup PAC ID 8527956580, 8 clinicians

Practice addresses (Care Compare)

1460 N Camino Alto
Suite 206
Vallejo, CA 94589-2567
Phone (707) 552-9596

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
148441CAMDMental Health Counselor
C148441CAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Retina Associates, Medical Group Retina Specialist CurrentSince Oct 1, 2023 Accepting new patients
Bay Area Retina Associates Retina Specialist CurrentSince Oct 1, 2023 Accepting new patients
Alameda Health System CurrentSince Oct 28, 2017 Accepting new patients
Alameda Health System CurrentSince Oct 28, 2017 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Reading Hospital Past Accepting new patients
Associated Retinal Consultants, PC Ophthalmology PastSince Aug 16, 2006 Accepting new patients
Alameda Health System Past Accepting new patients
John Muir Health Past Accepting new patients
Lehigh Valley Hospital Schuylkill Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
John a. Vollmer, MD, PC Past Accepting new patients
John Muir Health Past Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

2219 Buchanan Rd
Ste 6
Antioch, CA 94509
Phone (925) 522-8850

4049 Lone Tree Way
Ste Ij
Antioch, CA 94531
Phone (800) 573-8462

1200 Central Blvd
Ste C
Brentwood, CA 94513
Phone (800) 573-8462

20130 Lake Chabot Rd
Ste 303
Castro Valley, CA 94546
Phone (510) 733-1888

39055 Hastings St
Ste 105
Fremont, CA 94538
Phone (510) 505-1430

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

491 30th St
Ste 102
Oakland, CA 94609
Phone (510) 832-6554

5980 Stoneridge Dr
Ste 117
Pleasanton, CA 94588
Phone (925) 463-8200

15051 Hesperian Blvd
Ste D
San Leandro, CA 94578
Phone (510) 317-1111

2160 W Grant Line Rd
Ste 240
Tracy, CA 95377
Phone (209) 833-6118

1350 Burton Dr
Ste 210
Vacaville, CA 95687
Phone (707) 359-4642

1460 N Camino Alto
Ste 206
Vallejo, CA 94589
Phone (707) 552-9596

122 La Casa Via
Ste 223
Walnut Creek, CA 94598
Phone (925) 933-6190

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cluo14340@alamedahs.direct-ci.com
  • Direct secure messaging: cluo380473@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1669684072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LENNON LN STE 250",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985915",
            "telephone_number": "925-943-6800",
            "fax_number": "925-943-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 LENNON LN STE 250",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985915",
            "telephone_number": "925-943-6800",
            "fax_number": "925-943-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 30th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093235",
            "country_code": "US",
            "telephone_number": "510-832-6554",
            "fax_number": "510-832-3119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 N Camino Alto Ste 206",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945892567",
            "country_code": "US",
            "telephone_number": "707-552-9596",
            "fax_number": "707-552-9599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2219 Buchanan Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945094200",
            "country_code": "US",
            "telephone_number": "925-522-8850",
            "fax_number": "925-522-8851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUO",
        "first_name": "CAESAR",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-06",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "148441",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "C148441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.