Raymond R. Rendon & Associates

Primary specialty

OcularistTaxonomy code 156FX1700X

Legal business name

RAYMOND R. RENDON & ASSOCIATES

Practice address

2120 Forest Ave Ste 2
San Jose, CA 95128-1478

Phone

(408) 297-4850

Fax

(408) 297-0676

NPI assigned

May 16, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Raymond R Rendon, B.C.O

Title

Ocularist

Phone

(408) 297-4850

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Raymond Rudolph Rendon, B.C.O.

  • Prosthetics Case Management
  • San Jose, CA
  • NPI 1710097613

  O20100930014419

  Same enrollment

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

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1669765251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 FOREST AVE STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281478",
            "telephone_number": "408-297-4850",
            "fax_number": "408-297-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 FOREST AVE STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281478",
            "telephone_number": "408-297-4850",
            "fax_number": "408-297-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND R. RENDON & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OCULARIST",
        "authorized_official_telephone_number": "408-297-4850",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.C.O"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4744627",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rendoneye.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2120 Forest Ave Ste 2",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951281478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Ray
• Jose Jesus Raya
• Joyce Raya
• Meleena Iliana Raygoza
• Raymond H. Funada, D.D.S., Inc.
• Jeanine Raymond
• Megan Raymond, MSW
• Mary Antonette Raymundo
• Lisa A Rayo
• Zoya Karyn Raysberg-Bellman, LMFT

• Technician/Technologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Technician/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.