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WEST COAST RETINA
NPI 1053389064
Ophthalmology - Retina Specialist in San Francisco, CA

Active since March 08, 2006CLIA 05D2104668 · Waiver
1445 BUSH ST, SAN FRANCISCO, CA 94109(415) 972-4600(415) 975-0999 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2020, Jul 23, 2019 (2 updates tracked since 2019).

About West Coast Retina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST COAST RETINA (NPI 1053389064) is a healthcare organization registered as a retina specialist in San Francisco, California and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through May 21, 2028, maintains 4 additional practice locations, and lists Benjamin M Higginbotham, Coo, as its authorized official.

NPPES Registry Identity

NPI1053389064
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameWEST COAST RETINA MEDICAL GROUP, INC.
Location Address1445 BUSH STSan Francisco, CA 94109-5520
Mailing Address1445 Bush StSan Francisco, CA 94109-5520 · (415) 972-4600 · Fax (415) 975-0999
Phone(415) 972-4600
Fax(415) 975-0999
Organization SubpartNo
Authorized OfficialBenjamin M HigginbothamCoo · (415) 972-4626
Enumeration DateMarch 8, 2006
Last NPPES UpdateFebruary 3, 20202 updates tracked since enumeration
✔ NPI 1053389064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedOphthalmology · Uveitis and Ocular Inflammatory DiseaseTaxonomy 207WX0108X
1445 BUSH ST, San Francisco, CA 94109
Open in Google Maps ↗

Other Names 1

Doing Business AsWest Coast Retina

Secondary Practice Locations 4

Location 1101 S San Mateo Dr Ste 265San Mateo, CA 94401-3819 · Phone (650) 342-7137
Location 2100 Tamal Plz Ste 120Corte Madera, CA 94925-1176 · Phone (415) 927-6600 · Fax (415) 891-3329
Location 31981 N Broadway Ste 265Walnut Creek, CA 94596-3827 · Phone (925) 295-1727 · Fax (925) 954-7029
Location 4400 30th StOakland, CA 94609-3306 · Phone (510) 268-8277 · Fax (510) 350-8803

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Coast Retina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to West Coast Retina, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Jasmine Elison, M.D.
Ophthalmology
NPI 1740219583
1445 BUSH ST
San Francisco, CA 94109
(415) 972-4600
✔ PECOS✔ Accepts MedicareSame address
Anita Agarwal, MD
Ophthalmology
NPI 1508940628
1445 BUSH ST
San Francisco, CA 94109
(415) 972-4600
✔ PECOS✔ Accepts MedicareSame address
Judy Chen, M.D.
Ophthalmology
NPI 1265875611
1445 BUSH ST
San Francisco, CA 94109
(415) 972-4600
✔ PECOS✔ Accepts MedicareSame address
Emmett Cunningham, M.D.,PHD,MPH
Ophthalmology
NPI 1083706261
1445 BUSH ST
San Francisco, CA 94109
(415) 972-4600
✔ PECOS✔ Accepts MedicareSame address
James Jumper, M.D.
Ophthalmology
NPI 1609844687
1445 BUSH ST
San Francisco, CA 94109
(415) 972-4600
✔ PECOS✔ Accepts MedicareSame address
Georgia Kamboj, MBBS, PHD
Ophthalmology
NPI 1366946170
1445 BUSH ST
San Francisco, CA 94109
(415) 972-4600
✔ PECOS✔ Accepts MedicareSame address
Gaurav Shah, MD
Ophthalmology
NPI 1972502383
1445 BUSH ST
San Francisco, CA 94109
(415) 972-4600
✔ PECOS✔ Accepts MedicareSame address
Lawrence Chan
Ophthalmology
NPI 1215497920
490 ILLINOIS STREET
San Francisco, CA 94158
(415) 353-4433
✔ PECOS✔ Accepts Medicare2.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2104668

West Coast Retina Medical Group, Inc. · San Francisco, CA
Active · expires May 21, 2028
CLIA Number05D2104668
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorJames M. Jumper
Laboratory Phone(415) 972-4600
Laboratory LocationWest Coast Retina Medical Group, Inc.1445 Bush St, San Francisco, CA 94109
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 West Coast Retina Medical Group, Inc.'s NPI number?

The NPI number for West Coast Retina Medical Group, Inc. is 1053389064. It was assigned to this organization in the NPPES registry on March 8, 2006. The provider is doing business as West Coast Retina.

Where is West Coast Retina Medical Group, Inc. located?

West Coast Retina Medical Group, Inc. is located at 1445 Bush St, San Francisco, CA 94109. The listed phone number is (415) 972-4600.

What is West Coast Retina Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is West Coast Retina Medical Group, Inc. enrolled in Medicare?

Yes. West Coast Retina Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Coast Retina Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Ophthalmology, reassign their Medicare billing to West Coast Retina Medical Group, 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. Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Coast Retina Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2104668) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Coast Retina Medical Group, Inc. was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.