Rudolph A. Bedford, M.D.
Individual provider Active NPI Gastroenterology Physician · Santa Monica, CA
NPI 1902885684 · NPPES record last updated Sep 13, 2021
Key facts
- NPI
- 1902885684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- A52659 (CA)
- Practice address
- 1301 20TH St Ste 280
Santa Monica, CA 90404-2053 - Phone
- (310) 829-6789
- Fax
- (310) 935-3163
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Saint Johns Medical Foundation
Practice addresses (Care Compare)
12555 W Jefferson Blvd
Los Angeles, CA 90066-7032
1301 20TH St
Santa Monica, CA 90404-2053
2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 829-5511
2336 Santa Monica Blvd
Suite 204
Santa Monica, CA 90404-2938
Phone (310) 829-6789
5525 W Slauson Ave
Los Angeles, CA 90056-1047
Phone (310) 642-0325
Hospital & facility affiliations
- Saint John'S Health Center
- Ronald Reagan UCLA Medical Center
- Kindred Hospital - Los Angeles
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 96.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 132 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 258 |
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 |
|---|---|---|---|---|
| I20101228000187 | CA | Practitioner - Gastroenterology | 7113015025 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A52659 | CA | MD | Gastroenterology Physician |
Practice roles (10 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Health Associates of Southern California | Gastroenterology | Current |
Accepting new patients |
| Digestive Health Associates of Southern California | Current |
Accepting new patients | |
| Providence Saint Johns Medical Foundation | Current |
Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| Southern California Healthcare System, Inc | Past | Accepting new patients | |
| Saint John'S Health Clinic | Past | Accepting new patients | |
| Providence Saint John'S Health Center | Past | Accepting new patients | |
| Cedars-Sinai Marina Hospital | Past | Accepting new patients | |
| Brotman Medical Center, Inc. | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients |
Locations
12555 W Jefferson Blvd
#303
Los Angeles, CA 90066
Phone (424) 443-5530
2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
1301 20th St
Ste 280
Santa Monica, CA 90404
Phone (310) 829-6789
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rbedford472939@oc.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A52659 | CA | Yes |
Addresses
Primary practice location
1301 20TH St Ste 280
Santa Monica, CA 90404-2053
Mailing address
1301 20TH St Ste 280
Santa Monica, CA 90404-2053
Phone (310) 829-6789
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A526590 | Medicaid | CA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbedford472939@oc.providencedirect.org |
Other providers in Santa Monica, CA
- Diana Marie Marjorie Beck
- Magnolia Becker
- Mitchell D Becker
- Steven H Becker
- Erica Becks
- Alicia Bedward
- Daniel Begel
- Abigail Elizabeth Beggs
- Sherryl A Beh
- Behavioral Health Services, Inc.
All providers in Santa Monica, CA · Gastroenterology 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 Sep 13, 2021. 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.