Rebecca M. Akolo, D.P.M
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Loma Linda, CA
NPI 1992102420 · NPPES record last updated Nov 26, 2014
Key facts
- NPI
- 1992102420
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 6707 (CA)
- Practice address
- 25279 Taylor St
Unit a
Loma Linda, CA 92354-3054 - Phone
- (510) 528-9609
- NPI assigned
- Nov 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bay Area Mobile Medical Group Inc
East Bay Foot Clinic Inc
Practice addresses (Care Compare)
121 Paul Dr
Suite a
San Rafael, CA 94903-2047
Phone (415) 578-4983
5720 Stoneridge Mall Rd
Suite 130
Pleasanton, CA 94588-2829
Phone (925) 694-0165
Hospital & facility affiliations
- Unihealth Home Care, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 2129 |
| Removal or shaving of skin growth | 229 |
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: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180115000582 | CA | Practitioner - Podiatry | 8022377274 |
Reassigns benefits to 2 organizations Practice locations: Antioch, CA; Castro Valley, CA; Concord, CA; Stockton, CA; Walnut Creek, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5405 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Mobile Medical Group, Inc. | Current |
Accepting new patients | |
| East Bay Foot Clinic Inc | Current |
Accepting new patients | |
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Past | Accepting new patients |
Locations
5720 Stoneridge Mall Rd
Ste 130
Pleasanton, CA 94588
Phone (510) 483-3390
121 Paul Dr
Ste A
San Rafael, CA 94903
Phone (415) 578-4983
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 6707 | CA | Yes |
Addresses
Primary practice location
25279 Taylor St
Unit a
Loma Linda, CA 92354-3054
Mailing address
25279 Taylor St
Unit a
Loma Linda, CA 92354-3054
Phone (510) 289-6090
Other providers in Loma Linda, CA
- Andrew Ajoku
- Allison Aka
- Marib Akanda
- Shannel Akhavan
- Foluke Adeola Akinyemi
- Lynda S Akoto
- Rufina Ehimezele Akporavbare
- Akshar Krupa Inc
- Akshar Krupa Inc
- Ahmed Zaidoon Al Ani
All providers in Loma Linda, CA · Foot & Ankle Surgery Podiatrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2014. 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.