Jacob Jacque Ahdoot MD a Professional Corporation
NPI 1134419021 · Nephrology Physician · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Jacque Ahdoot MD a Professional Corporation is a Nephrology Physician organization in Los Angeles, CA (NPI 1134419021).
Provider details
- NPI number
- 1134419021
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacob Ahdoot, President(310) 741-2329
- License
- A98763 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-12
- Last updated
- 2012-03-01
Frequently asked questions
- What is Jacob Jacque Ahdoot MD a Professional Corporation's NPI number?
- Jacob Jacque Ahdoot MD a Professional Corporation's National Provider Identifier (NPI) is 1134419021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacob Jacque Ahdoot MD a Professional Corporation?
- Jacob Jacque Ahdoot MD a Professional Corporation is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Jacob Jacque Ahdoot MD a Professional Corporation located?
- Jacob Jacque Ahdoot MD a Professional Corporation's practice location on file with NPPES is 1700 E Cesar E Chavez Ave, Los Angeles, CA 90033-2424.
- What is Jacob Jacque Ahdoot MD a Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Jacob Jacque Ahdoot MD a Professional Corporation is (310) 741-2329.
- Does Jacob Jacque Ahdoot MD a Professional Corporation accept Medicare?
- Jacob Jacque Ahdoot MD a Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jacob Jacque Ahdoot MD a Professional Corporation?
- The authorized official listed on Jacob Jacque Ahdoot MD a Professional Corporation's NPPES record is Jacob Ahdoot, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacob Jacque Ahdoot MD a Professional Corporation's NPI active?
- Yes — Jacob Jacque Ahdoot MD a Professional Corporation's NPI (1134419021) is active in the NPPES registry as of the last update on 2012-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.