Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Jacque Ahdoot, MD

Individual provider Nephrology Physician · NPI 1689878852

Dr. Jacob Jacque Ahdoot, MD is a Nephrology in Los Angeles, California. Qualified in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1700 E Cesar E Chavez Ave Ste 3750
Los Angeles, CA 90033-2424
Phone: (323) 250-2680
Fax: (323) 526-8305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A98763 (CA)

Record details

NPI number1689878852
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 12, 2007
Last updated in NPPESMay 13, 2014
Mailing address1700 E Cesar E Chavez Ave, Suite 3750, Los Angeles, CA 90033-2424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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