Santa Clara Ophthalmology Incorporated

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A112440 Issued in CA

Legal business name

SANTA CLARA OPHTHALMOLOGY INCORPORATED

Practice address

2081 Forest Ave Ste 2
San Jose, CA 95128-4841

Phone

(408) 777-6350

Fax

(408) 777-6354

NPI assigned

Oct 7, 2010

Organization subpart

No

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

Authorized official

Name

Ho Sun Choi, M.D.NPI 1053579169

Title

Director/Owner

Phone

(408) 777-6350

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Ho Sun Choi, M.D.

  • Ophthalmology Physician
  • San Jose, CA
  • NPI 1053579169
  Medicare reassignment Care Compare group NPD Authorized official
• Chloe Inhye Kang, OD

  • Optometrist
  • Saratoga, CA
  • NPI 1669159190

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Elena Y Nguyen, MD

  • Ophthalmology Physician
  • Foster City, CA
  • NPI 1235592387
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1801106968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 FOREST AVE STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284841",
            "telephone_number": "408-777-6350",
            "fax_number": "408-777-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 FOREST AVE STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284841",
            "telephone_number": "408-777-6350",
            "fax_number": "408-777-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA OPHTHALMOLOGY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "HO SUN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "408-777-6350",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A112440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DR547A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santa Clara County Pals Program
• Santa Clara Drug
• Santa Clara Hospice
• Santa Clara Medical Group Inc
• Santa Clara OB/GYN Medical Group
• Santa Clara Ostomy & Medical Supply
• Santa Clara Valley Medical Center
• Santa Clara Valley Medical Center
• Santa Clara Valley Medical Center
• Santa Clara Valley Medical Center

• Ophthalmology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.