MEDICARE: RETINA CONSULTANTS OF CALIFORNIA

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
2	207WX0107X	Retina Specialist (Ophthalmology) Physician

General Provider Information

NPI Number	:	1669296216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RETINA CONSULTANTS OF CALIFORNIA

Provider Business Mailing Address
First Line	:	1471 SARATOGA AVE STE 200
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-4958
Country	:	US
Telephone Number	:	650-291-3561
Fax Number	:

Provider Business Practice Location Address
First Line	:	1471 SARATOGA AVE STE 200
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-4958
Country	:	US
Telephone Number	:	650-291-3561
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. AMILA RUWAN SILVA
Credential	:	MD
Telephone Number	:	650-291-3561

Provider Enumeration Date	:	11/11/2024
Last Update Date	:	05/06/2025

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