BAY AREA RETINA ASSOCIATES – NPI #1174557805
Ophthalmology

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

Health Care Provider Taxonomy Code for Ophthalmology

BAY AREA RETINA ASSOCIATES is an ophthalmologist located in WALNUT CREEK, CA. NPPES has assigned the NPI number 1174557805 to BAY AREA RETINA ASSOCIATES on July 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was last updated on Dec 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAY AREA RETINA ASSOCIATES below.

NPI Profile for
BAY AREA RETINA ASSOCIATES

NPI Number
1174557805
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BAY AREA RETINA ASSOCIATES
Primary location
365 LENNON LN STE 250
WALNUT CREEK, CA 94598-5915
Phone: (925) 943-6800 Fax: (925) 943-6880
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TUSHAR RANCHOD
PARTNER
Phone: (925) 943-6800
Updated
Certification Date
Dec 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BAY AREA RETINA ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCAGR0030670
medicaidCAGR0030671
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.