Active NPI
Roben Dan Ahdoot, M.D.
- Diagnostic Radiology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A62395
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A62395 | Other | CA | MEDICAL 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
Enrollment records 1
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
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
- Mercy Medical Center Redding
- San Antonio Regional Hospital
- Mercy San Juan Medical Center
- Mercy General Hospital
- Sierra Nevada Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 64.31
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| United Medical Imaging Healthcare, Inc. | Current | Accepting new patients | |
| San Antonio Radiological Medical | Diagnostic Radiology | Current | Accepting new patients |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Mineral King Radiological Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| United Medical Imaging Healthcare, Inc. | Current | 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. | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | 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 | Past | 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.
-
dba Mercy Medical Group, a service of Dignity Health Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
dba VIP Specialists
- Diagnostic Radiology Physician
- Visalia, CA
- NPI 1578505202
-
- Diagnostic Radiology Physician
- Upland, CA
- NPI 1457396947
-
- Diagnostic Radiology Physician
- Culver City, CA
- NPI 1467722918
-
dba United Medical Imaging of Downey
- Radiology Clinic/Center
- Downey, CA
- NPI 1760572036
-
dba Kaweah Health Cardiothoracic Surgery Clinic
- Multi-Specialty Clinic/Center
- Visalia, CA
- NPI 1326704529
-
- Multi-Specialty Clinic/Center
- Bakersfield, CA
- NPI 1437440864
-
dba Dignity Health Medical Group - Sierra Nevada, a service of Dignity Hea
- Multi-Specialty Clinic/Center
- Grass Valley, CA
- NPI 1043456106
-
dba Dignity Health Medical Group - Northridge, a service of Dignity Health
- Multi-Specialty Clinic/Center
- Northridge, CA
- NPI 1508222647
-
dba Dignity Health Medical Group - Dominican, a service of Dignity Health
- Multi-Specialty Clinic/Center
- Santa Cruz, CA
- NPI 1598961245
-
dba Dignity Health Medical Group - North State, a service of Dignity Healt
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- Exclusive Provider Organization
- Van Nuys, CA
- NPI 1801999776
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
dba Mercy San Juan Medical Center
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
-
dba Sierra Nevada Memorial Hospital
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
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
- Ahc Healthcare of Sacramento LLC
- Ahc Home Health of Sacramento LLC (AHC Home Health of Sacramento)
- Ahcs Specialty Care LLC (AHCS Specialty Care)
- Ahcs Specialty Care Sacramento, LLC (AHCS Specialty Care Sacramento)
- Ahcs Specialty Care Sacramento, LLC (AHCS Specialty Care Sacramento)
- Margaret Ahern
- Kristine Ahlberg, RN
- Daniel Michael Ahlers, MD
- Amy Jo Ahlfeld, PSY.D.
- Christian Ahlfs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.