MEDICARE: CLAUDIO S CONTRERAS MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	G63436	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00031038	OTHER	CA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083796510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLAUDIO S CONTRERAS MD INC

Provider Business Mailing Address
First Line	:	2120 MCKEE RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95116-1427
Country	:	US
Telephone Number	:	408-971-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 MCKEE RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95116-1427
Country	:	US
Telephone Number	:	408-971-2020
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT-CEO
Name	:	DR. CLAUDIO S CONTRERAS
Credential	:	M.D.
Telephone Number	:	408-971-2020

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	02/11/2020

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Directions to “CLAUDIO S CONTRERAS MD INC ” Practice Location

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