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BAY AREA RETINA ASSOCIATES, MEDICAL GROUP
NPI 1790928067
Ophthalmology - Retina Specialist in Vallejo, CA

Active since April 15, 2009
1460 N CAMINO ALTO STE 206, VALLEJO, CA 94589(707) 552-9596(707) 552-9599 Get Directions Write a Review

NPPES record last updated: May 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 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 1790928067) is a healthcare organization registered as a retina specialist in Vallejo, 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

NPI1790928067
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameBAY AREA RETINA ASSOCIATES, MEDICAL GROUP
Location Address1460 N CAMINO ALTO STE 206Vallejo, CA 94589-2567
Mailing Address365 Lennon Ln Ste 250Walnut Creek, CA 94598-5915 · (925) 265-8324 · Fax (925) 522-8658
Phone(707) 552-9596
Fax(707) 552-9599
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 1790928067 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.
1460 N CAMINO ALTO STE 206, Vallejo, CA 94589
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIANNE WA MD
Ophthalmology (Retina Specialist)
1460 N CAMINO ALTO STE 206
VALLEJO, CA 94589
Napa County (800) 573-8462

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 1790928067. 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 1460 N Camino Alto Ste 206, Vallejo, CA 94589. The listed phone number is (707) 552-9596.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.