AESTHETIC AND REFRACTIVE SURGERY MEDICAL CENTER, INC.
NPI 1124111711
Specialist in San Jose, CA
About Aesthetic And Refractive Surgery Medical Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AESTHETIC AND REFRACTIVE SURGERY MEDICAL CENTER, INC. (NPI 1124111711) is a healthcare organization registered as a specialist in San Jose, California and active in the NPI registry since October 2006. The organization lists Randal T Pham, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Aesthetic And Refractive Surgery Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Aesthetic And Refractive Surgery Medical Center, 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 Aesthetic And Refractive Surgery Medical Center, Inc.'s NPI number?
The NPI number for Aesthetic And Refractive Surgery Medical Center, Inc. is 1124111711. It was assigned to this organization in the NPPES registry on October 2, 2006.
Where is Aesthetic And Refractive Surgery Medical Center, Inc. located?
Aesthetic And Refractive Surgery Medical Center, Inc. is located at 455 Oconnor Dr Suite 180B, San Jose, CA 95128. The listed phone number is (408) 998-8109.
What is Aesthetic And Refractive Surgery Medical Center, Inc.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Aesthetic And Refractive Surgery Medical Center, Inc. enrolled in Medicare?
Yes. Aesthetic And Refractive Surgery Medical Center, Inc. is registered in the Medicare PECOS enrollment system.
When is Aesthetic And Refractive Surgery Medical Center, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Aesthetic And Refractive Surgery Medical Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Aesthetic And Refractive Surgery Medical Center, 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 Aesthetic And Refractive Surgery Medical Center, Inc. was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Aesthetic And Refractive Surgery Medical Center, Inc. · NPI 1124111711
Specialist organization in San Jose, California. Organization record, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1124111711 (Entity type: Organization)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Randal Pham, MEDICAL DIRECTOR
## Practice location
- **Address:** 455 OCONNOR DR, SUITE 180B, San Jose, CA 95128-1633
- **Phone:** (408) 998-8109 · **Fax:** (408) 998-1884
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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:** June 30, 2014
- **Other identifiers:** Medicare ID-Type Unspecified 00G712971 (CA); Medicare UPIN F58293 (CA); Medicare ID-Type Unspecified 00G712970 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1124111711) · Data from the CMS NPPES public registry.