PACIFIC RETINA INC
NPI 1043915788
Ophthalmology - Retina Specialist in Milpitas, CA
About Pacific Retina Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC RETINA INC (NPI 1043915788) is a healthcare organization registered as a retina specialist in Milpitas, California and active in the NPI registry since April 2023. The organization maintains a secondary practice location in Fremont and lists Sanket U Shah, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pacific Retina Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pacific Retina Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pacific Retina Inc's NPI number?
The NPI number for Pacific Retina Inc is 1043915788. It was assigned to this organization in the NPPES registry on April 3, 2023.
Where is Pacific Retina Inc located?
Pacific Retina Inc is located at 1109 S Park Victoria Dr, Milpitas, CA 95035. The listed phone number is (714) 732-1417.
What is Pacific Retina Inc's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Pacific Retina Inc enrolled in Medicare?
Yes. Pacific Retina Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pacific Retina Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Pacific Retina Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pacific Retina Inc was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pacific Retina Inc · NPI 1043915788
Retina Specialist organization in Milpitas, California. Organization record, active in the CMS NPPES registry since April 3, 2023.
## Identity
- **NPI:** 1043915788 (Entity type: Organization)
- **Enumerated:** April 3, 2023
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **Organization subpart:** No
- **Authorized official:** Sanket Shah, PHYSICIAN
## Practice location
- **Address:** 1109 S PARK VICTORIA DR, Milpitas, CA 95035-6942
- **Phone:** (714) 732-1417
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Ophthalmology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1043915788) · Data from the CMS NPPES public registry.