PACIFIC RETINA INC
NPI 1043915788
Ophthalmology - Retina Specialist in Milpitas, CA

Active since April 03, 2023
1109 S PARK VICTORIA DR, MILPITAS, CA 95035(714) 732-1417 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1043915788
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NamePACIFIC RETINA INC
Location Address1109 S PARK VICTORIA DRMilpitas, CA 95035-6942
Mailing Address7152 Bon Villa CirLa Palma, CA 90623-1167 · (714) 732-1417
Organization SubpartNo
Authorized OfficialSanket U ShahPhysician · (714) 732-1417
Enumeration DateApril 3, 2023
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
NPI 1043915788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X
1109 S PARK VICTORIA DR, Milpitas, CA 95035

Secondary Practice Location 1

Location 146923 Warm Springs Blvd Ste 207Fremont, CA 94539-7977 · Phone (669) 599-0040 · Fax (669) 201-0557

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1109 S PARK VICTORIA DR
MILPITAS, CA 95035
Ophthalmology (Retina Specialist)
1109 S PARK VICTORIA DR
MILPITAS, CA 95035

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.

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 21 months 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.