Individual provider Active NPI

Roben Dan Ahdoot, M.D.

  • Diagnostic Radiology Physician
  • Sacramento, CA
National Provider Identifier
1083757132
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A62395 Issued in CA
Practice address
3000 Q St FL 1
Sacramento, CA 95816-7058
Phone
(916) 733-3301
Fax
(916) 281-3882
NPI assigned
Feb 15, 2007
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A62395 CA Primary

Addresses

Primary practice location

3000 Q St FL 1
Sacramento, CA 95816-7058

Mailing address

3400 Data Dr
Physician Support Services
Rancho Cordova, CA 95670-7956
Phone (916) 379-2948

Other identifiers 1

IdentifierTypeStateIssuer
A62395OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326001381 CA Practitioner - Diagnostic RadiologyPractitioner - Radiation Oncology 9739071440 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians
San Antonio Radiological MedicalGroup PAC ID 8325035942, 54 clinicians
Mineral King Radiological Medical Group IncGroup PAC ID 2163321720, 18 clinicians

Practice addresses (Care Compare)

1380 Lead Hill Blvd
Suite 100
Roseville, CA 95661-2997
Phone (916) 535-2030

155 Glasson Way
Suite L 10
Grass Valley, CA 95945-5723
Phone (530) 274-6677

1635 Creekside Dr
Suite 100
Folsom, CA 95630-3830
Phone (916) 986-5200

1650 Creekside Dr
Folsom, CA 95630-3400
Phone (916) 983-7476

16661 Ventura Blvd
Encino, CA 91436-1914
Phone (818) 216-7760

1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800

1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800

22325 Macfarlane Dr
Woodland Hills, CA 91364-1504
Phone (909) 985-2811

3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319

3301 C St
Suite 500
Sacramento, CA 95816-3372
Phone (916) 556-3300

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000

4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4414

7500 Hospital Dr
Sacramento, CA 95823-5403
Phone (916) 423-6176

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as group
Quality
100
Improvement activities
40
Cost
64.31

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jul 15, 2024 Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince May 6, 2013 Accepting new patients
San Antonio Radiological Medical Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Mineral King Radiological Medical Group, Inc Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince May 6, 2013 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
United Medical Imaging Healthcare, Inc. Current Accepting new patients
Farshad Malekmehr M.D. Inc. CurrentSince Sep 17, 2019 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jul 15, 2024 Accepting new patients
Dignity Health Past Accepting new patients
Viprs, L.P. Diagnostic Radiology Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
Universal Radiology Consultants PC Diagnostic Radiology PastSince Aug 12, 2017 Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

9134 W Olympic Blvd
Beverly Hills, CA 90212
Phone (310) 432-1000

6305 Coyle Ave
Carmichael, CA 95608
Phone (916) 961-6920

2330 W Covell Blvd
Davis, CA 95616
Phone (530) 668-2600

16311 Ventura Blvd
Ste 1080
Encino, CA 91436
Phone (818) 501-6775

1625 Creekside Dr
Ste 101
Folsom, CA 95630
Phone (916) 984-1866

1635 Creekside Dr
Ste 100
Folsom, CA 95630
Phone (916) 984-1866

1141 W Redondo Beach Blvd
Ste 105
Gardena, CA 90247
Phone (310) 436-1730

16161 Gothard St
Ste C
Huntington Beach, CA 92647
Phone (714) 843-6255

110 S La Brea Ave
Ste 150
Inglewood, CA 90301
Phone (310) 671-6000

3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814

18460 Roscoe Blvd
Fl 2
Northridge, CA 91325
Phone (818) 885-5480

2020 Court St
Redding, CA 96001
Phone (530) 243-1236

2380 Bechelli Ln
Redding, CA 96002
Phone (530) 226-1800

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

1380 Lead Hill Blvd
Ste 100
Roseville, CA 95661
Phone (916) 535-2030

2110 Professional Dr
Ste 190
Roseville, CA 95661
Phone (916) 787-0404

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

3000 Q St
Fl 1
Sacramento, CA 95816
Phone (916) 733-3301

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

1700 S Court St
Ste F
Visalia, CA 93277
Phone (559) 734-9244

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

2081 Bronze Star Dr
Woodland, CA 95776
Phone (530) 668-2600

632 W Gibson Rd
Woodland, CA 95695
Phone (530) 666-1631

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 26

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1083757132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "PHYSICIAN SUPPORT SERVICES",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956",
            "telephone_number": "916-379-2948",
            "fax_number": "916-858-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 Q ST FL 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167058",
            "telephone_number": "916-733-3301",
            "fax_number": "916-281-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHDOOT",
        "first_name": "ROBEN",
        "middle_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A62395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A62395",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.