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BAY AREA RETINA ASSOCIATES, MEDICAL GROUP
NPI 1083857353
Ophthalmology - Retina Specialist in San Leandro, CA

Active since April 15, 2009
15051 HESPERIAN BLVD STE D, SAN LEANDRO, CA 94578(510) 317-1111(510) 317-1113 Get Directions Write a Review

NPPES record last updated: May 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2021, Apr 11, 2019 (2 updates tracked since 2019).

About Bay Area Retina Associates, Medical Group NPPES

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

BAY AREA RETINA ASSOCIATES, MEDICAL GROUP (NPI 1083857353) is a healthcare organization registered as a retina specialist in San Leandro, California and active in the NPI registry since April 2009. The organization lists Agnes Mercado, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1083857353
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameBAY AREA RETINA ASSOCIATES, MEDICAL GROUP
Location Address15051 HESPERIAN BLVD STE DSan Leandro, CA 94578-3536
Mailing Address365 Lennon Ln Ste 250Walnut Creek, CA 94598-5915 · (925) 265-8324 · Fax (925) 522-8658
Phone(510) 317-1111
Fax(510) 317-1113
Organization SubpartYes
Authorized OfficialAgnes MercadoDirector Of Revenue Cycle · (925) 265-8324
Enumeration DateApril 15, 2009
Last NPPES UpdateMay 23, 20212 updates tracked since enumeration
NPPES CertifiedMay 23, 2021
✔ NPI 1083857353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

15051 HESPERIAN BLVD STE D, San Leandro, CA 94578
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Other Identifiers 2

MedicaidGR0030670CA
MedicaidGR0030671CA

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 SINGLE SPECIALTY GROUP

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 Bay Area Retina Associates, Medical Group's NPI number?

The NPI number for Bay Area Retina Associates, Medical Group is 1083857353. It was assigned to this organization in the NPPES registry on April 15, 2009.

Where is Bay Area Retina Associates, Medical Group located?

Bay Area Retina Associates, Medical Group is located at 15051 Hesperian Blvd Ste D, San Leandro, CA 94578. The listed phone number is (510) 317-1111.

What is Bay Area Retina Associates, Medical Group'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 Bay Area Retina Associates, Medical Group was last updated on May 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.