Individual provider Active NPI

Roberto Rende, M.D.

  • Ophthalmology Physician
  • Huntington Beach, CA
National Provider Identifier
1235224973
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A48593 Issued in CA
Practice address
16830 Algonquin St
Huntington Beach, CA 92649-3882
Phone
(408) 887-6745
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A48593 CA Primary
General Practice Physician 208D00000X A48593 CA

Addresses

Primary practice location

16830 Algonquin St
Huntington Beach, CA 92649-3882

Mailing address

377 E Chapman Ave
Ste 240
Placentia, CA 92870-5091
Phone (714) 572-2037

Other identifiers 1

IdentifierTypeStateIssuer
1467630301MedicaidCA

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
I20080731000815 CA Practitioner - Ophthalmology 6507936713 Reassigns benefits to 2 organizations
Practice locations: Apple Valley, CA; Huntington Beach, CA; La Mirada, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48593CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Sebastopol Medical Group Inc Ophthalmology CurrentSince May 1, 2019 Accepting new patients
Eye Associates of Sebastopol Medical Group Ophthalmology CurrentSince May 1, 2019 Accepting new patients
Samir a Shah MD Professional Corporation Ophthalmology CurrentSince Nov 1, 2021 Accepting new patients
Robert Rende MD & Associates Ophthalmology PastSince Jun 1, 2008 Accepting new patients

Locations

18582 Main St
Huntington Beach, CA 92648
Phone (714) 843-5700

3500 Barranca Pkwy
Ste 130
Irvine, CA 92606
Phone (949) 522-6266

6880 Palm Ave
Sebastopol, CA 95472
Phone (707) 769-1074

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1235224973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 E CHAPMAN AVE",
            "address_2": "STE 240",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705091",
            "telephone_number": "714-572-2037",
            "fax_number": "562-531-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16830 ALGONQUIN ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493882",
            "telephone_number": "408-887-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDE",
        "first_name": "ROBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A48593",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A48593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467630301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.