Provider Demographics
NPI:1881558856
Name:BAY AREA RETINA ASSOCIATES
Entity type:Organization
Organization Name:BAY AREA RETINA ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TUSHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:RANCHOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-943-6800
Mailing Address - Street 1:PO BOX 748930
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-8930
Mailing Address - Country:US
Mailing Address - Phone:925-265-8324
Mailing Address - Fax:916-938-3697
Practice Address - Street 1:1200 CENTRAL BLVD STE C
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2227
Practice Address - Country:US
Practice Address - Phone:800-573-8462
Practice Address - Fax:925-943-6880
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAY AREA RETINA ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-12-12
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty