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

NPI Status: Active since March 08, 2006

Contact Information

1445 BUSH ST
SAN FRANCISCO, CA
ZIP 94109
Phone: (415) 972-4600
Fax: (415) 975-0999

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  • Organization
  • Ophthalmology
  • Retina Specialist
  • CLIA Number: 05D2104668
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-21-2026

About WEST COAST RETINA

This page provides the complete NPI Profile along with additional information for West Coast Retina, a provider established in San Francisco, California operating as a Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1053389064 assigned on March 2006. The practitioner's primary taxonomy code is 207WX0107X. The provider is registered as an organization and their NPI record was last updated 6 years ago. West Coast Retina operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as West Coast Retina. The authorized official of this NPI record is Benjamin M Higginbotham (Coo)

NPI
1053389064
Provider Legal Name
WEST COAST RETINA MEDICAL GROUP, INC.
Other Organization Name
WEST COAST RETINA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1445 BUSH ST SAN FRANCISCO, CA 94109
Location Phone
(415) 972-4600
Location Fax
(415) 975-0999
Mailing Address
1445 BUSH ST SAN FRANCISCO, CA 94109
Mailing Phone
(415) 972-4600
Mailing Fax
(415) 975-0999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2006
Last Update Date
02-03-2020
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Location Map

Secondary Locations

  • 400 30th St
    Oakland, CA 94609
    (510) 268-8277
  • 101 S San Mateo Dr Ste 265
    San Mateo, CA 94401
    (650) 342-7137
  • 1981 N Broadway Ste 265
    Walnut Creek, CA 94596
    (925) 295-1727
  • 100 Tamal Plz Ste 120
    Corte Madera, CA 94925
    (415) 927-6600

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology Retina Specialist

Taxonomy Code
207WX0107X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

 
2207WX0108XAllopathic & Osteopathic Physicians

Ophthalmology
Uveitis and Ocular Inflammatory Disease

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BENJAMIN M HIGGINBOTHAM

Authorized Official Title
COO
Authorized Official Phone
(415) 972-4626

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2104668
Facility Type
Physician Office
Certificate Effective Date
May 22, 2024
Certificate Expiration Date
May 21, 2026
Laboratory Director
JAMES M. JUMPER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to West Coast Retina to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053389064, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 6 + 8 + 1 + 8 + 0 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1053389064.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Specialist
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology (Retina Specialist)
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology (Retina Specialist)
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology (Retina Specialist)
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology (Retina Specialist)
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology (Retina Specialist)
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology (Retina Specialist)
1445 BUSH ST
SAN FRANCISCO, CA 94109
Community Health Worker
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology (Retina Specialist)
1445 BUSH ST
SAN FRANCISCO, CA 94109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053389064, enumerated as an "organization" on March 08, 2006.

The provider is located at 1445 BUSH ST SAN FRANCISCO, CA 94109 and the phone number is (415) 972-4600.

Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.