Active NPI
Rebecca M. Akolo, D.P.M
- Foot & Ankle Surgery Podiatrist
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 6707
- Practice address
- 25279 Taylor St
Unit a
Loma Linda, CA 92354-3054 - Phone
- (510) 528-9609
- NPI assigned
- Nov 26, 2014
- Last updated
- Nov 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 6707 | CA | Primary |
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
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5405 | CA | MD | Clinical Social Worker |
| 6707 | CA | MD | Speech-Language Assistant |
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
Organizations & group practices 3
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.
-
- General Practice Physician
- San Rafael, CA
- NPI 1265187272
-
- Podiatrist
- Pleasanton, CA
- NPI 1740935865
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pleasanton, CA
- NPI 1841756905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1992102420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25279 TAYLOR ST",
"address_2": "UNIT A",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543054",
"telephone_number": "510-289-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25279 TAYLOR ST",
"address_2": "UNIT A",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543054",
"telephone_number": "510-528-9609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKOLO",
"first_name": "REBECCA",
"middle_name": "M.",
"credential": "D.P.M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-26",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "6707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.