Active NPI
Roberto Rende, M.D.
- Ophthalmology Physician
- Huntington Beach, CA
National Provider Identifier
1235224973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A48593
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467630301 | Medicaid | CA |
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A48593 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Sebastopol Medical Group Inc | Ophthalmology | Current | Accepting new patients |
| Eye Associates of Sebastopol Medical Group | Ophthalmology | Current | Accepting new patients |
| Samir a Shah MD Professional Corporation | Ophthalmology | Current | Accepting new patients |
| Robert Rende MD & Associates | Ophthalmology | Past | 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.
-
- Ophthalmology Physician
- Sebastopol, CA
- NPI 1295729382
-
- Ophthalmology Physician
- Huntington Beach, CA
- NPI 1700197365
-
- Ophthalmology Physician
- El Cajon, CA
- NPI 1467630301
-
- Eyewear Supplier
- Sebastopol, CA
- NPI 1619012119
Ophthalmology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.