Active NPI
California Eye Clinic
- Ophthalmology Physician
- San Ramon, CA
National Provider Identifier
1982909289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- CALIFORNIA EYE CLINIC
- Practice address
- 2723 Crow Canyon Rd
Sutie 110
San Ramon, CA 94583-1583 - Phone
- (925) 855-9912
- NPI assigned
- Jan 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ivan P Hwang, MD
- Title
- Partiner
- Phone
- (925) 855-9912
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
2723 Crow Canyon Rd
Sutie 110
San Ramon, CA 94583-1583
Mailing address
2723 Crow Canyon Rd
Suite 110
San Ramon, CA 94583-1583
Phone (925) 855-9912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040818000506 | CA | Part B Supplier - Clinic/Group Practice | 9931092962 |
Receives reassigned benefits from 13 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: San Ramon, CA; Walnut Creek, CA; Brentwood, CA; Antioch, CA; Pittsburg, CA |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295308800000",
"number": "1982909289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2723 CROW CANYON RD",
"address_2": "SUITE 110",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831583",
"telephone_number": "925-855-9912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2723 CROW CANYON RD",
"address_2": "SUTIE 110",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831583",
"telephone_number": "925-855-9912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA EYE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A",
"authorized_official_last_name": "HWANG",
"authorized_official_first_name": "IVAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PARTINER",
"authorized_official_telephone_number": "925-855-9912",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
- Sheila Grace Claravall Caliboso, OTR/L
- Jeff Calicdan
- California Dermatology Care
- California Em-I Medical Services, a Medical Corporation
- California Eye Clinic
- California Infection Control Consultants, Inc.
- California Sports Physical Therapy Centers, Inc.
- Aileen Call
- John E Call, MD
- Anne Elizabeth Callahan, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.