Active NPI
Morris M. Ahdoot MD Inc.
- Health Service Clinic/Center
- Irvine, CA
National Provider Identifier
1457657140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- A67668
- Legal business name
- MORRIS M. AHDOOT MD INC.
- Practice address
- 15775 Laguna Canyon Rd
Irvine, CA 92618-3189 - Phone
- (949) 453-1173
- Fax
- (949) 453-1175
- NPI assigned
- Jan 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Morris M Ahdoot, MD
- Title
- President
- Phone
- (949) 453-1173
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | A67668 | CA | Primary |
Addresses
Primary practice location
15775 Laguna Canyon Rd
Irvine, CA 92618-3189
Mailing address
15775 Laguna Canyon Rd Ste 200
Irvine, CA 92618-3191
Phone (949) 453-1173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A676680 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0967730 | Morris M Ahdoot MD, Inc | Certificate of waiver | Nov 21, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Irvine, CA
- NPI 1992748420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296172800000",
"number": "1457657140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15775 LAGUNA CANYON RD STE 200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183191",
"telephone_number": "949-453-1173",
"fax_number": "949-453-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15775 LAGUNA CANYON RD",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183189",
"telephone_number": "949-453-1173",
"fax_number": "949-453-1175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORRIS M. AHDOOT MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-28",
"last_updated": "2011-01-28",
"status": "A",
"authorized_official_last_name": "AHDOOT",
"authorized_official_first_name": "MORRIS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-453-1173",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CA",
"license": "A67668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A676680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.