SOUTH BAY RETINA A MEDICAL CORPORATION
NPI 1487684106
Ophthalmology in San Jose, CA

Active since July 05, 2006
455 OCONNOR DR STE 310, SAN JOSE, CA 95128(408) 294-3534(408) 294-3214 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Aug 16, 2018, Apr 10, 2018 (3 updates tracked since 2018).

About South Bay Retina A Medical Corporation NPPES

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

SOUTH BAY RETINA A MEDICAL CORPORATION (NPI 1487684106) is a healthcare organization registered as an ophthalmology in San Jose, California and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Gilroy and lists Keshav Narain, Director, as its authorized official.

NPPES Registry Identity

NPI1487684106
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSOUTH BAY RETINA A MEDICAL CORPORATION
Location Address455 OCONNOR DR STE 310San Jose, CA 95128-1644
Mailing Address455 Oconnor Dr Ste 310San Jose, CA 95128-1644 · (408) 294-3534 · Fax (408) 294-3214
Fax(408) 294-3214
Organization SubpartNo
Authorized OfficialKeshav NarainDirector · (408) 294-3534
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1487684106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G831730
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
455 OCONNOR DR STE 310, San Jose, CA 95128

Secondary Practice Location 1

Location 19360 N Name Uno Ste 210Gilroy, CA 95020-3535 · Phone (408) 294-3534 · Fax (408) 294-3214

Other Identifiers 1

Medicaid00G831730CA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Bay Retina A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Bay Retina A Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1487680328
455 OCONNOR DR STE 310
San Jose, CA 95128
(408) 294-3534
✔ PECOS✔ Accepts MedicareSame address

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 South Bay Retina A Medical Corporation's NPI number?

The NPI number for South Bay Retina A Medical Corporation is 1487684106. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is South Bay Retina A Medical Corporation located?

South Bay Retina A Medical Corporation is located at 455 Oconnor Dr Ste 310, San Jose, CA 95128. The listed phone number is (408) 294-3534.

What is South Bay Retina A Medical Corporation's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is South Bay Retina A Medical Corporation enrolled in Medicare?

Yes. South Bay Retina A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Bay Retina A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to South Bay Retina A Medical Corporation. 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 South Bay Retina A Medical Corporation was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.