Rebecca Ahdoot, M.D.
Individual provider Active NPI Nephrology Physician · Orange, CA
NPI 1851735211 · NPPES record last updated Oct 31, 2022
Key facts
- NPI
- 1851735211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- A132648 (CA)
- Practice address
- 101 The City Dr S
Orange, CA 92868-3201 - Phone
- (714) 880-7812
- NPI assigned
- Apr 28, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- University of California, Irvine, California College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- UC Regents
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
Hospital & facility affiliations
- DaVita Beach Dialysis
- Uci Health-Orange
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 83.7
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190910002138 | CA | Practitioner - Nephrology |
5395040323 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A132648 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Nephrology | Current |
Accepting new patients |
| UC Regents | Current |
Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients | |
| UC Regents | Past | Accepting new patients |
Locations
101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
1809 W Chapman Ave
Orange, CA 92868
Phone (714) 634-3583
12456 Beach Blvd
Stanton, CA 90680
Phone (714) 373-9447
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A132648 | CA | Yes |
Addresses
Primary practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986
Other practice location 1
1400 S Grand Ave Ste 605
Los Angeles, CA 90015-3068
Phone (213) 896-0010
Other names
- Rebecca Ahdout
Other providers in Orange, CA
- Danielle Aguirre
- David Aguirre
- Griselda Aguirre
- Maria Fernanda Aguirre
- Miranda Yolanda Aguirre
- Brittany Ahern Nwachie
- Thomas E Ahlering
- Robin Ahlquist
- Monica Ahluwalia
- Hira Ahmad
All providers in Orange, CA · Nephrology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.