Individual provider Active NPI

Rajiv Ramesh Rathod, MD

  • Ophthalmology Physician
  • Santa Ana, CA
National Provider Identifier
1821201351
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A120894 Issued in CA
Practice address
1200 N Tustin Ave
Suite 140
Santa Ana, CA 92705-3508
Phone
(714) 972-8432
Fax
(714) 972-4715
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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 2009008059 MO
Ophthalmology Physician 207W00000X A120894 CA Primary
Ophthalmology Physician 207W00000X 036125717 IL

Addresses

Primary practice location

1200 N Tustin Ave
Suite 140
Santa Ana, CA 92705-3508

Mailing address

1200 N Tustin Ave
Suite 140
Santa Ana, CA 92705-3508
Phone (714) 972-8432

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
I20120813000301 CA Practitioner - Ophthalmology 3375693518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Vanderbilt University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Retina Medical GroupGroup PAC ID 1951345883, 5 clinicians

Practice addresses (Care Compare)

24022 Calle de la Plata
Suite 475
Laguna Hills, CA 92653-3673
Phone (949) 581-3618

31451 Rancho Viejo Rd
Suite 101
San Juan Capistrano, CA 92675-1860
Phone (949) 496-0611

320 Superior Ave
Suite 160
Newport Beach, CA 92663-6139
Phone (949) 646-3242

333 W Bastanchury Rd
Suite 200
Fullerton, CA 92835-3433
Phone (714) 451-0801

999 N Tustin Ave
Suite 17
Santa Ana, CA 92705-6504
Phone (714) 972-8432

Merit-based Incentive Payment System (MIPS)

Final score
99.93 of 100Reported as group
Quality
99.87
Improvement activities
40

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
A120894CAMDOphthalmology Physician
036125717ILMDOphthalmology Physician
2009008059MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Retina Medical Group Ophthalmology CurrentSince Jul 28, 2012 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
Mohammad Reza Neal MD Inc Ophthalmology Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

333 W Bastanchury Rd
Ste 200
Fullerton, CA 92835
Phone (714) 451-0801

24022 Calle de la Plata
Ste 475
Laguna Hills, CA 92653
Phone (909) 335-6328

320 Superior Ave
Ste 160
Newport Beach, CA 92663
Phone (714) 646-3242

31451 Rancho Viejo Rd
Ste 101
San Juan Capo, CA 92675
Phone (714) 581-3618

999 N Tustin Ave
Ste 17
Santa Ana, CA 92705
Phone (714) 550-7474

1200 N Tustin Ave
Ste 140
Santa Ana, CA 92705
Phone (714) 972-8235

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rrathod@ocretina.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1821201351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE",
            "address_2": "SUITE 140",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053508",
            "telephone_number": "714-972-8432",
            "fax_number": "714-972-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE",
            "address_2": "SUITE 140",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053508",
            "telephone_number": "714-972-8432",
            "fax_number": "714-972-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHOD",
        "first_name": "RAJIV",
        "middle_name": "RAMESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2009008059",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A120894",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036125717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.