NPIMap

Individual provider Active NPI

Rudolph A. Bedford, M.D.

  • Gastroenterology Physician
  • Santa Monica, CA
National Provider Identifier
1902885684
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A52659 Issued in 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
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A52659 CA Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbedford472939@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101228000187 CA Practitioner - Gastroenterology 7113015025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

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

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy132
Upper gastrointestinal (GI) endoscopy for acid reflux258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A52659CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Associates of Southern California CurrentSince Feb 6, 2018 Accepting new patients
Digestive Health Associates of Southern California Gastroenterology CurrentSince Feb 6, 2018 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Aug 1, 2018 Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
Saint John's Health Clinic Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
Regents Univ of Calif Los Angeles 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

1301 20th St
Ste 280
Santa Monica, CA 90404
Phone (310) 829-6789

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rbedford472939@oc.providencedirect.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1902885684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 280",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042053",
            "telephone_number": "310-829-6789",
            "fax_number": "310-935-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 280",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042053",
            "telephone_number": "310-829-6789",
            "fax_number": "310-935-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDFORD",
        "first_name": "RUDOLPH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A52659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbedford472939@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1301 20th St Ste 280",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.