Shobha Tandon, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A53643 Issued in CA

Practice address

2 Union SQ FL 1
Union City, CA 94587-4495

Phone

(510) 431-5511

Fax

(510) 431-5513

NPI assigned

Aug 29, 2006

Last updated

Aug 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Ophthalmology

Education

University of Texas Medical School at San Antonio, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neovision Eye Center a MedicalGroup PAC ID 1456337500, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: standon122844@direct.whhs.com

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.

• Neovision Eye Center a Medical

  • Specialist
  • Union City, CA
  • NPI 1992816383
  Medicare reassignment Care Compare group Authorized official
• Neovision Eye Center, a Medical Corporation

  • Ophthalmology Physician
  • Union City, CA
  • NPI 1841468436
  NPD Authorized official
• El Camino Hospital

  dba El Camino Health

  • General Acute Care Hospital
  • Mountain View, CA
  • NPI 1093712374
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1811006513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UNION SQ FL 1",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874495",
            "telephone_number": "510-552-6167",
            "fax_number": "510-431-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UNION SQ FL 1",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874495",
            "telephone_number": "510-431-5511",
            "fax_number": "510-431-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDON",
        "first_name": "SHOBHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A53643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "00A536431",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00A536430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trixy Syu, D.O.
• Mayra Tagle, AUD
• McKenna Talley, LCSW
• Leslie Ann Tam
• Stephen Claude Tanaka, M.D.
• Caleh Christian Tang, OT
• Kwan Yiu Tang
• Xun Tang
• Mitsuko Taniguchi, LMT
• Francis Tanjuatco, PT

• Ophthalmology Physician in Union City, CA
• Providers in Union City, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.