Jacob Jacque Ahdoot MD a Professional Corporation

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A98763 Issued in CA

Legal business name

JACOB JACQUE AHDOOT MD A PROFESSIONAL CORPORATION

Practice address

1700 E Cesar E Chavez Ave
Suite 3750
Los Angeles, CA 90033-2424

Phone

(310) 741-2329

NPI assigned

Apr 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Jacque Ahdoot, M.D.NPI 1689878852

Title

President

Phone

(310) 741-2329

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Jacque Ahdoot, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1689878852
  Medicare reassignment NPD Authorized official
• Ricardo Cardenas, PA-C

  • Physician Assistant
  • Santa Ana, CA
  • NPI 1851696967
  Medicare reassignment
• Maria C Galura, NP-C

  • Family Nurse Practitioner
  • Porter Ranch, CA
  • NPI 1124634118
  NPD

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1134419021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE 3750",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332424",
            "telephone_number": "310-741-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE 3750",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332424",
            "telephone_number": "310-741-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB JACQUE AHDOOT MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "AHDOOT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "JACQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-741-2329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A98763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xochitl L Jackson, MD
• Zianna Jackson
• Agata J Jacniacki, RD
• Jacob B Pelta MD
• Jacob J. Orphali
• Jacob M. Tsadok M.D. Inc
• Jacob Rajfer M D Inc
• Esther Jacob, LCSW
• Jimi Jacob
• Suma Jacob, M.D.

• Nephrology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.