Jonathan Ahdoot MD Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A44025 Issued in CA

Legal business name

JONATHAN AHDOOT MD INC

Practice address

15775 Laguna Canyon Rd
Suite 290
Irvine, CA 92618-3145

Phone

(949) 727-4330

Fax

(949) 727-1851

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Ahdoot, M.D.NPI 1568559102

Title

Owner

Phone

(949) 727-4330

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JAHANGIR J AHDOOT Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Jonathan J Ahdoot, M.D.

  • Pulmonary Disease Physician
  • Irvine, CA
  • NPI 1568559102
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1750512489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD",
            "address_2": "SUITE 290",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183145",
            "telephone_number": "949-727-4330",
            "fax_number": "949-727-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD",
            "address_2": "SUITE 290",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183145",
            "telephone_number": "949-727-4330",
            "fax_number": "949-727-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN AHDOOT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "AHDOOT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-727-4330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A44025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A440250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAHANGIR J AHDOOT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trishia Johnson, DDS
• Wendy Johnson
• Lindsey Lee Johnston
• Michele Marie Johnston
• William Roch Johnston, DC
• Jonathan Cho DDS Inc.
• Jonathan Cho DDS, Inc
• Aimee Jones, RN
• Amber Jones
• Ashley Jones

• Pulmonary Disease Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.