Individual provider Active NPI

Nathan Jerome Rudometkin, MD

  • Retina Specialist (Ophthalmology) Physician
  • Laguna Woods, CA
National Provider Identifier
1225128994
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A81443 Issued in CA
Practice address
24361 El Toro Rd Ste 160
Laguna Woods, CA 92637-8897
Phone
(949) 534-4000
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD60929372 WA
Ophthalmology Physician 207W00000X A81443 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X A81443 CA Primary

Addresses

Primary practice location

24361 El Toro Rd Ste 160
Laguna Woods, CA 92637-8897

Mailing address

24361 El Toro Rd Ste 160
Laguna Woods, CA 92637-8897
Phone (949) 534-4000

Other practice location 1

803 N Emerson Ave
Wenatchee, WA 98801-2034
Phone (509) 663-8711

Other practice location 2

555 N 13th Ave
Upland, CA 91786-4904
Phone (909) 277-2420

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
I20080505000775 CA Practitioner - Ophthalmology 2961430236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

555 N 13TH Ave
Upland, CA 91786-4904
Phone (909) 982-8846

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
76.08
Promoting interoperability
72
Improvement activities
40
Cost
75.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60929372WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Eye Institute, a Medical Group, Inc. Ophthalmology CurrentSince Dec 1, 2021 Accepting new patients
Nathan Rudometkin MD, Inc Retina Specialist CurrentSince Jun 7, 2025 Accepting new patients
Wenatchee Valley Hospital Past Accepting new patients
Children's Hospital Colorado Past Accepting new patients
Central Washington Health Services Association Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Scripps Health Past Accepting new patients
Wenatchee Valley Hospital Past Accepting new patients
Inland Valley Retina Medical Associates, Inc Ophthalmology PastSince Jun 1, 1998 Accepting new patients

Locations

16177 Kamana Rd
Apple Valley, CA 92307
Phone (760) 946-0618

15099 Kamana Rd
Apple Valley, CA 92307

1900 E Washington St
Colton, CA 92324
Phone (909) 825-3425

12442 Limonite Ave
Unit 200
Eastvale, CA 91752
Phone (951) 737-4000

9834 Genesee Ave
Ste 200
La Jolla, CA 92037
Phone (858) 457-3050

24361 El Toro Rd
Ste 160
Laguna Woods, CA 92637
Phone (949) 534-4000

3637 Vista Way
Oceanside, CA 92056
Phone (760) 758-2008

8112 Milliken Ave
Ste 203
Rancho Cucamonga, CA 91730
Phone (909) 945-3563

41877 Enterprise Cir N
Ste 110
Temecula, CA 92590
Phone (951) 296-2244

555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846

591 N 13th Ave
Upland, CA 91786
Phone (909) 946-5320

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nrudometkin62643@edirect.chehr.org
  • Direct secure messaging: nrudometkin@pacificeyelaser.intellechartdirect.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1225128994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24361 EL TORO RD STE 160",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926378897",
            "telephone_number": "949-534-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24361 EL TORO RD STE 160",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926378897",
            "telephone_number": "949-534-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 N Emerson Ave",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012034",
            "country_code": "US",
            "telephone_number": "509-663-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 N 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864904",
            "country_code": "US",
            "telephone_number": "909-277-2420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOMETKIN",
        "first_name": "NATHAN",
        "middle_name": "JEROME",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60929372",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A81443",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A81443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Woods, CA

Sources for this page

Verify at the official NPI Registry.