Individual provider Active NPI

Connie Meeyoung Rhee, M.D.

  • Nephrology Physician
  • Santa Monica, CA
National Provider Identifier
1083835276
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A124707 Issued in CA
Practice address
1245 16TH St Ste 307
Santa Monica, CA 90404-1239
Phone
(310) 481-4228
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A124707 CA Primary

Addresses

Primary practice location

1245 16TH St Ste 307
Santa Monica, CA 90404-1239

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

Other practice location 1

3181 SW Sam Jackson Park Road
Oregon Health and Science University
Portland, OR 97239
Phone (503) 494-8211

Other practice location 2

101 The City Dr S Bldg 30
Orange, CA 92868-3201
Phone (714) 456-7720

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
I20130710000789 CA Practitioner - NephrologyPractitioner - Internal Medicine 6204901697 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Northwestern University Feinberg Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 1355248584, 1,426 clinicians

Practice addresses (Care Compare)

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

3445 Pacific Coast Hwy
Suite 100
Torrance, CA 90505-6659
Phone (310) 542-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
UC Regents Current Accepting new patients
UC Regents Nephrology CurrentSince Jun 1, 2013 Accepting new patients
UC Regents CurrentSince Jun 1, 2013 Accepting new patients
The Regents of the University of California-Irvine CurrentSince Oct 11, 2014 Accepting new patients
Prohealth Partners, a Medical Group Internal Medicine Current Accepting new patients
The Regents of the University of California CurrentSince Oct 1, 2023 Accepting new patients
Prohealth Partners a Medical Group Inc CurrentSince Feb 20, 2024 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine CurrentSince Feb 20, 2024 Accepting new patients
Bristol Park Medical Group, Inc Internal Medicine Past Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients
Massachusetts Institute of Technology Past Accepting new patients
Prohealth Partners a Medical Group Inc Internal Medicine Past Accepting new patients

Locations

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

200 UCLA Medical Plz
Ste 565C
Los Angeles, CA 90095
Phone (310) 267-2555

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

File 55737
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

1245 16th St
Ste 307
Santa Monica, CA 90404
Phone (310) 481-4228

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

21840 Normandie Ave
Torrance, CA 90502
Phone (310) 222-5015

20911 Earl St
Ste 180
Torrance, CA 90503
Phone (310) 370-4660

21840 Normandie Ave
Ste 700
Torrance, CA 90502
Phone (310) 222-5101

1124 W Carson St
Torrance, CA 90502
Phone (310) 222-2773

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: crhee1198436@direct.uclahealth.org

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1083835276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 16TH ST STE 307",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041239",
            "telephone_number": "310-481-4228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Road",
            "address_2": "Oregon Health and Science University",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97239",
            "country_code": "US",
            "telephone_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 The City Dr S Bldg 30",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683201",
            "country_code": "US",
            "telephone_number": "714-456-7720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHEE",
        "first_name": "CONNIE",
        "middle_name": "MEEYOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A124707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.